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Clinical Review:

Chest Pain

Dr. Zsa Zsa Maranani

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IDENTITY•

Name : Mr. RFL• DOB : e!tem"er #$ th % &'($) *' +ears ,l-• en-er : Male• Race : Bata/

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&0.1& : 2e came t, ER 33C "+ himsel4% c,5l- wal/

stea-il+ with,5t an assist 67lert c,n-iti,n8.

&0.10: 2e c,m!laine- chest !ain since last ni9ht%ital i9n Bl,,- Press5re &*&);& mm29% P5lse ;#

"!m% Tem! *$.'C% RR 00

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PhysicalExamination

• E+e : N, 7nemic an- n, scleral Icteric% !5!ilis,ch,r *mm)*mm% li9ht re ecti,n )

• Or,!har+n< : n, !harin9 hi!eremis 6 8% Oralcan-i-iasis 6 8

•

Nec/ : n, enlar9ement ,4 nec/ l+m!h n,-e% n,elevate- P• L5n9s : vesic5lar s,5n- ) , Rh ) % Gh )• Car-i, : & 0 sin9le%n,rmal% re95ler% n, m5rm5r %

n, 9all,!• 7"-,men : s,4t% B 6 8% t+m!ani% 2)L 5n!al!a"le%

n, mass !al!a"le• E

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Treatment

• O"servati,n in ER 33C 4,r a while• Minias!i ;#m9 OD• 599est t, c,ntr,l a9ain in T5es-a+ ,r

Ge-nes-a+ t, -r.O ,n9 6while the -r59s

was 9iven t, him% n5rse lala 9ave hima-vice t, st,! sm,/in9 still sm,/in9HEven in 3M rec,r-e- alrea-+ st,!!e-sm,/in9 ,n several !revi,5se

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PO T MORTEM

• Estimate- the time ,4 -eath &$.*# 6in 3lini/ Chan-ra8• N, w,5n- ,n his ",-+• Br5ise- c,r!se was 4,5n- at his man-i"le% s!rea- t,

sh,5l-er an- "ac/ 6e#n9)L C3MB: &.;& n9)mL OT 0') PT 1') amma T ;#

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Thank You