FROM OUR EXPERTS
What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
When we live with pain on a daily basis, we often wonder if a new pain is something we should be concerned about. It can be particularly difficult to tell if you have a condition like fibromyalgia, where the pain typically moves around from day to day. Right or wrong, most of us wait to see if the pain gets worse before getting it checked out. But when it's chest pain, we naturally wonder if we could be having a heart attack. Heart Attack Symptoms So how do we know when chest pain is something to worry about? Following are signs that can indicate a possible heart attack: • Uncomfortable pain, pressure, squeezing or fullness in the center of the chest that lasts more than a few minutes. • Discomfort that spreads to other areas of the upper body including the back, neck, jaw, stomach, shoulders, or one or both arms. • Shortness of breath. • Sweating, anxiety, nausea, or lightheadedness. • A feel...
Itching - burning eyes; Burning eyes
Rubenstein JB, Virasch V. Conjunctivitis: infectious and noninfectious. In: Yanoff M, Duker JS, eds. Ophthalmology . 3rd ed. St. Louis, Mo: Mosby Elsevier; 2008:chap 4.6.
Rubenstein JB, Virasch V. Allergic conjunctivitis. In: Yanoff M, Duker JS, eds. Ophthalmology . 3rd ed. St. Louis, Mo: Mosby Elsevier; 2008:chap 4.7.
Wright JL, Wightman JM. Red and painful eye. In: Marx JA, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice . 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 32.
You should know
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