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Chest Pain

Chest Pain. Agenda. History Physical Differential algorithm Management. Chronicity Duration Frequency Acute vs. chronic Location Severity Radiation Quality/character. PMH Family History Medications. History. Physical. ABCs Vitals CV Pulm MSK - reproducible. Differential.

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Chest Pain

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  1. Chest Pain

  2. Agenda • History • Physical • Differential algorithm • Management

  3. Chronicity Duration Frequency Acute vs. chronic Location Severity Radiation Quality/character PMH Family History Medications History

  4. Physical • ABCs • Vitals • CV • Pulm • MSK - reproducible

  5. Differential

  6. MSK

  7. Respiratory

  8. GI

  9. Vascular

  10. Cardiac

  11. Management in Asymptomatic Children Schematic approach to evaluation of pediatric patient with chest pain in whom the physical examination is normal. For details about the various conditions, see text. Data from: Brenner, JI, Ringel, RE, Berman, MA. Cardiologic perspectives of chest pain in childhood: a referral problem? To whom? Pediatr Clin North Am 1984; 31:1241.

  12. Management in Symptomatic Children Schematic approach to evaluation of pediatric patient with chest pain in whom the physical examination is abnormal. For details about the various conditions, see the text. Data from: Brenner, JI, Ringel, RE, Berman, MA. Cardiologic perspectives of chest pain in childhood: a referral problem? To whom? Pediatr Clin North Am 1984; 31:1241.

  13. References • Selbst, SM. Chest pain in children. Pediatrics 1985; 75: 1068. • Geggel, Robert. Approachto chest pain in children. www.uptodate.com

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