Doctor's choice

CHEST PAIN Discomfort in the chest including a dull ache, a crushing or burning feeling, a sharp stabbing pain and pain that radiates to the neck or shoulder. Diagnosing the cause of chest pain is often difficult. A careful history is often more useful then test: Exercise induced central chest pain is usually cardiac in origin. Rest pain might be: Cardiac, Pleuritic, Musculoskeletal, Nerve root irritation, Oesophageal, Mediastinal or referred pain of abdomen. Lung diseases only cause pain if the pleura, mediastinum, intercostal nerve or bone is involve. IS IT CARDIAC PAIN?   Central chest pain: radiates to arm and neck.Dull ache,severe heavy constricting character.May be associated with breathlessness. Typical angina Occurs on exercise and is eased by rest. Acute coronary syndrome Pain at rest or on minimal exertion, sometimes very severe with sweating pain persists. Pericarditis Dull or sharp, central, eased by sitting forward, may be worse wi...

HEART ATTACK A  heart attack  is the death of heart muscle due to the loss of blood supply. The loss of blood supply is usually caused by a  complete blockage of a coronary artery, one of the arteries that supplies blood to the heart muscle. Death of the heart muscle, in turn, causes  chest pain  and electrical instability of the heart muscle tissue. 10 warning signs and symptoms of heart attack Chest pain is the most common symptom of a heart attack Jaw pain Sweating Heartburn Shortness of breath Jaw pain Headache Nausea Vomiting Diaphoresis Read-  https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack EXAMINATION;- Heart attack are diagnosed with procedures such as  coronary angiogram   and PTCA ( coronary balloon angioplasty   ), and clot dissolving  drugs  are available that can quickly open blocked arteries in order to restore circulation to the heart and limit ...

Leg swelling  caused by the retention of fluid in  leg  tissues is known as peripheral  edema . It can be caused by a problem with the circulatory system, the lymphatic system or the kidneys Leg swelling problem isn't directly related with heart problem it is also signs of chronic kidney disease. Now some common cause of a swollen leg :- Deep venous thrombosis(DVT) Acute rupture knee joint / Baker's cyst Trauma, eg- rupture of tendon / muscle Infection; eg- cellulitis(Staphylococcus), osteomyelitis.   CASE HISTORY A 38 years old woman on the OCP developed pain in the left calf 4 days ago; it had oedema of the lower led without any change.Examination revealed oedema of the lower lrg without any prominence of the veins; there was tenderness along the line of the deep veins. Doppler study showed early thrombus in the popliteal veins. She use anticogulated with haparin and warfarin for 6 month and given alternative contraceptive advice. INVES...