Clinical Case Database / Category: Clinical Care

Chest pain: an approach for F1 doctors

Publication details

Sabih Momenul Huq MA MRCP
Foundation Years Journal, volume 1, issue 1, p.6 (123Doc Education, London, April 2007)

Abstract

Mr KL, a 48-year-old Irish businessman, arrives in hospital with a two hour history of severe retrosternal chest pain radiating to both sides of his chest, and into his neck and back. It came on suddenly, at rest, and although it seemed to be improving for a while, has got much worse in the last hour.

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Authors

Sabih Momenul Huq MA MRCP

Specialist Registrar & BHF Junior Research Fellow
Barts and The London
Queen Mary’s School of Medicine and Dentistry

References

1. Dennis L. Kasper EB, Anthony Fauci, Stephen Hauser , Dan Longo , J. Larry Jameson. Harrison’s Principles of Internal Medicine. 16 ed: McGrawHill Professinal, 2004.
2. Fruergaard P, Launbjerg J, Hesse B, Jorgensen F, Petri A, Eiken P, et al. The diagnoses of patients admitted with acute chest pain but without myocardial infarction. Eur Heart J 1996;17(7):1028-34.
3. Pope JH, Aufderheide TP, Ruthazer R, Woolard RH, Feldman JA, Beshansky JR, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med 2000;342(16):1163-70.
4. Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, et al. ACC/AHA 2002 guideline update for the management of patients with chronic stable angina--summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation 2003;107(1):149-58.

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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