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  • Topic Discussion Chest Pain: Catherine Hartono - 07120120057

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    Catherine Hartono
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    1. Chest pain is a common complaint in emergency departments, accounting for 5% of visits or 5 million patients per year. 2. The causes of chest pain are varied but generally include cardiac, pulmonary, gastrointestinal, musculoskeletal, and panic disorder/anxiety. 3. The evaluation of chest pain involves obtaining a history, physical exam, EKG, chest x-ray, serum markers, and tests like echocardiography and CT to rule out life-threatening causes like acute coronary syndrome, pulmonary embolism, and aortic dissection.

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    1. Chest pain is a common complaint in emergency departments, accounting for 5% of visits or 5 million patients per year. 2. The causes of chest pain are varied but generally include cardiac, pulmonary, gastrointestinal, musculoskeletal, and panic disorder/anxiety. 3. The evaluation of chest pain involves obtaining a history, physical exam, EKG, chest x-ray, serum markers, and tests like echocardiography and CT to rule out life-threatening causes like acute coronary syndrome, pulmonary embolism, and aortic dissection.

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    5 views12 pages

    Topic Discussion Chest Pain: Catherine Hartono - 07120120057

    Uploaded by

    Catherine Hartono
    1. Chest pain is a common complaint in emergency departments, accounting for 5% of visits or 5 million patients per year. 2. The causes of chest pain are varied but generally include cardiac, pulmonary, gastrointestinal, musculoskeletal, and panic disorder/anxiety. 3. The evaluation of chest pain involves obtaining a history, physical exam, EKG, chest x-ray, serum markers, and tests like echocardiography and CT to rule out life-threatening causes like acute coronary syndrome, pulmonary embolism, and aortic dissection.

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    of 12

    TOPIC DISCUSSION

    CHEST PAIN
    Catherine Hartono - 07120120057

    CHEST PAIN
    Keluhan yang umum pada Unit Gawat Darurat
    5% dari seluruh kunjungan UGD atau 5 juta
    pasien pertahun
    Penyebabnya beragam; secara luas:
    1. Cardiac
    2. Pulmonary
    3. Gastrointestinal
    4. Muskuloskeletal
    5. Panic disorder/ anxiety

    CARDIAC
    Iskemik vs non iskemik
    Iskemik: coronary arteri disease, aortik stenosis,
    coronary artery spasm, hypertropic
    cardiomyopati
    Noniskemik: pericarditis, diseksi aorta, prolaps
    mitral valve

    PULMONARY
    . Pulmonary embolus with or without
    pulmonary infarction
    b. Pneumothorax
    c. Pneumonia with pleural involvement
    d. Pleurisy

    GASTROINTESTINAL
    3.

    Gastrointestinal
    a. Esophageal diseases
    (spasm, reflux, rupture)
    b. Peptic ulcer disease

    NEURMUSKULOSKELETAL
    5. Neuromusculoskeletal
    a. Thoracic outlet syndrome
    b. Degenerative joint disease of
    cervical/thoracic spine
    c. Costochondritis (Tietze syndrome)
    d. Herpes zoster
    e. Chest wall pain and tenderness
    6. Psychogenic

    PENDEKATAN PADA CHEST PAIN


    1.
    2.
    3.
    4.
    5.
    6.

    Anamnesis
    Pemeriksaan fisik
    EKG
    Chest xray
    Serum marker
    Echocardiography, CT

    Anamnesis
    Deskripsi nyeri dada:
    Lokasi ?
    Onset ?
    Karakteristik ?
    Menjalar ?
    Gejala penyerta ? sesak nafas; sweating; mual
    Timing ? Perlahan atau mendadak; durasi nyeri
    dada; frekuensi nyeri dada timbul
    Faktor yang memperburuk ?
    Faktor yang memperparah ?
    Skala nyeri dada ?
    1.

    2. Risk factor:
    Umur
    Perokok
    Hipertensi
    Diabetes
    Dislipidemia
    Riwayat penyakit keluarga
    Riwayat deep vein trombosis
    Penggunaan NSAID

    3. Riwayat penyakit dahulu:


    Riwayat penyakit jantung sebelumnya
    Riwayat kelainan gastrointestinal

    Hal Utama Rule out


    Rule out penyebab yang dapat menyebabkan
    kematian mendadak:
    1. Acute coronary syndrome/ Myocardial Infarct
    2. Pulmonary embolism
    3. Aortic dissection

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