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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Important features of the history in musculoskeletal chest pain

Important features of the history in musculoskeletal chest pain
Features suggestive of visceral cause
  • Middle-aged or older adult patient
  • Risk factors for coronary disease
  • Exertional pain
  • Cough
  • Fever
  • Dyspnea
  • Atypical location
Features suggestive of musculoskeletal cause[1]
  • Not squeezing or oppressive
  • Localized on the left or median-left part of the chest wall
  • Not exercise-induced
  • Influenced by movement or posture
  • Reproducible by palpation
Features suggestive of associated condition
  • Neck, thoracic, or shoulder pain (eg, pain referred to chest)
  • Chronic low back pain, young patient (eg, ankylosing spondylitis)
  • Ocular inflammation (eg, ankylosing spondylitis)
  • Diffuse musculoskeletal pain/sleep disturbance (eg, fibromyalgia)
  • Peripheral joint pain and swelling (eg, rheumatoid arthritis)
  • Skin lesions (eg, psoriasis)
Reference:
  1. ​Verdon F, Burnand B, Herzig L, et al. Chest wall syndrome among primary care patients: a cohort study. BMC Fam Pract 2007; 8:51.
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