Diagnosing and Treating Acute Onset Sharp Chest Ache within the Emergency Division for USMLE

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#Diagnosing #Treating #Acute #Onset #Sharp #Chest #Ache #Emergency #Division #USMLE

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In Episode 57 of Med Faculty Query of the Week for USMLE, Faustine Ramirez, MedSchoolCoach professional tutor, solutions this medical college query:

A 72-year-old man presents to the emergency division an hour after the onset of extreme chest ache radiating to the again. The ache began out of the blue whereas he was gardening. He has a historical past of hypertension, coronary artery illness, and prior myocardial infarction. He has smoked one pack of cigarettes per day for so long as he can keep in mind. He seems in average misery. Coronary heart fee is 108/min, respiratory fee is 22/min, and blood strain is 168/102. A grade 2/6 diastolic decrescendo murmur is heard on the proper higher sternal border and intensifies when the affected person is sitting up and leaning ahead. A chest x-ray is proven right here. Electrocardiogram reveals sinus tachycardia and no ST-segment elevations. Which of the next is probably the most acceptable preliminary step in pharmacotherapy?

– Sublingual nitroglycerin
– Intravenous nitroprusside
– Intravenous hydralazine
– Oral aspirin
– Subcutaneous heparin
– Intravenous furosemide
– Intravenous labetalol

Watch to search out out!

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Diagnosing and Treating Acute Onset Sharp Chest Ache within the Emergency Division for USMLE

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