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Differential Diagnosis and Overlap of Acute Chest Discomfort and Dyspnea in the Emergency Department

机译:急诊科的急性胸部不适和呼吸困难的鉴别诊断和重叠

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摘要

Acute chest discomfort and dyspnea are 2 of the most common nontraumatic symptoms that prompt emergency department evaluations in the United States. The overlap between these presenting symptoms is considerable. In addition, each symptom calls for a broad differential diagnosis that requires rapid refinement according to details in the history, physical examination, blood biomarkers, and radiographic evaluation. This article highlights the epidemiology and the evidence supporting critical decision making, which makes judicious use of the clinical laboratory and diagnostic radiology in the evaluation of the acutely ill patient with chest discomfort and dyspnea.
机译:急性胸口不适和呼吸困难是促使美国急诊科评估的最常见的非创伤性症状中的2种。这些表现症状之间的重叠很大。此外,每种症状都需要进行广泛的鉴别诊断,需要根据病史,体格检查,血液生物标志物和射线照相评估的详细信息进行快速完善。本文重点介绍了流行病学和支持关键决策的证据,这可以明智地利用临床实验室和放射诊断学评估患有胸部不适和呼吸困难的急症患者。

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