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afya ChestPain

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20160425222510 Ben  
<<forEachTiddler  where 'tiddler.tags.contains(context.inTiddler.title)'
sortBy 
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write '"*[["+tiddler.title+"]]\n"'>>
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''Myocardial Infarction''
heavy central pain that may radiate to neck or left arm (elderly / diabetic may get no pain)
nausea / sweating
CVS risk factors

''Pneumothorax''
Hx asthma or Marfans
sudden dyspnoea and pleuritic pain

''Pulmonary embolus''
Sudden dyspnoea and pleuritic pain
calf pain / swelling
current COCP or malignancy

''Pericarditis''
sharp pain relieved by sitting forwards, may be pleuritic

''Dissecting aortic aneurysm''
tearing chest pain radiating to back
unequal upper limb BP

''GORD''
burning retrosternal pain
? regurg or dysphagia

''Musculoskeletal pain''
common in ED - pain worse on mvt or palpation
?ppt by trauma or coughing

''Shingles''
pain often precedes rash