Miss Campbell presented to A&E after developing chest pain
June 20th, 2018
Miss Campbell is a 48 year old female who has presented to A&E after developing chest pain at home. Work through the case to reach a diagnosis and form a management plan.
History
Presenting complaint
“I’m really scared doctor, I’ve had chest pain for the last 2 hours and I’m feeling out of breath!”
WHAT FURTHER QUESTIONS MIGHT BE USEFUL TO ELICIT MORE DETAILS SURROUNDING THE PRESENTING COMPLAINT? WHAT OTHER QUESTIONS MIGHT YOU ASK TO COMPLETE YOUR HISTORY TAKING?
Examination
WHAT APPROACH WOULD YOU APPLY IN THE INITIAL ASSESSMENT OF MISS CAMPBELL?
Differential diagnosis
WHAT IS YOUR DIFFERENTIAL DIAGNOSIS?
Investigations
WHICH INVESTIGATIONS WOULD YOU LIKE TO PERFORM?