PA Boards 02: Chest Pain
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 31 October 2013
⏱️ 23 minutes
🧾️ Download transcript
Summary
In this session, I review a general apprach to the person complaining of chest pain. Before you can say this patient, has a benign etiology, you must first rule out the dangerous causes of chest pain.
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Transcript
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| 0:00.0 | What's up guys and welcome to the second episode of the Physician |
| 0:03.8 | assistant boards.com podcast and today we're going to talk about chest pain. |
| 0:08.8 | So chest pain is one of those symptoms that can be very scary. I know we're taught in school |
| 0:14.6 | to think of chest pain of something that's very life-threatening. However, the |
| 0:18.2 | majority of the time these are actually very benign causes of chest pain. |
| 0:23.6 | And a lot of times, there really, in fact, |
| 0:25.6 | is no chest pain. |
| 0:27.7 | So just to give you an example, |
| 0:29.1 | the University of Michigan did a study over a one-year period, |
| 0:32.1 | and this was done in a family practice setting. |
| 0:34.9 | They had 399 patients reviewed for the complaint of chest pain. |
| 0:40.0 | What they found was 20% of all the diagnosis were musculoskeletal, followed by |
| 0:47.8 | reflux, which was at 13%, and costochondritis was at 13.1%. |
| 0:55.0 | Stable Angina was the diagnosis only 10% of the time in these chest pain patients. |
| 1:04.0 | Unstable or possible MIs, so ACS, was only present in about one or one and a half percent of these patients. |
| 1:12.0 | Now, this means that half percent of these patients. |
| 1:12.6 | Now, this means that 60% of the patients |
| 1:15.4 | actually had no organic cause whatsoever. |
| 1:17.8 | So that means they really had no idea |
| 1:20.2 | or really couldn't identify the cause of the chest pain. |
| 1:25.0 | Now clearly, you know, as the older the person gets, the more likely there really is to be some type of coronary artery disease or some type of |
| 1:34.0 | eschemia as a cause of chest pain. But I want you to know |
... |
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