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11.02.2014

Shoulder pain diagnosis questionnaire, zumba online workout - Within Minutes

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In addition to a thorough history and physical examination, most patients should have a chest radiograph and an electrocardiogram.
Patients with chest pain that is predictably exertional, with electrocardiogram abnormalities, or with cardiac risk factors should be evaluated further with measurement of troponin levels and cardiac stress testing. However, there are several validated clinical decision rules that combine key groups of symptoms.HISTORY AND PHYSICAL EXAMINATIONIt is important to obtain a clear history of the onset and evolution of chest pain, with particular attention to details such as location, quality, duration, and aggravating or alleviating factors.


Although some patients with chest pain have heart failure, this is unlikely in the absence of dyspnea; a brain natriuretic peptide level measurement can clarify the diagnosis. Chest pain also may be associated with panic disorder, for which patients can be screened with a two-item questionnaire.





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