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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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EMU 365: Best Emergency Medicine Articles of the Year 2018

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martes, 18 de diciembre de 2018

Non-ST Elevation ACS

ALiEM - December 17th, 2018 - By Andrew Grock
"A patient presents to your ED with an all too common complaint – chest pain. After a focused history and physical exam, you have an extremely low clinical suspicion for thoracic aortic dissection, pulmonary embolism, pneumonia, pneumothorax, pericarditis/myocarditis, and Boerhaave’s syndrome. When the labs (including a troponin), an ECG, and chest x-ray yield normal results, questions often arise. Can you discharge her with a single troponin if she is low risk? How do you define low risk? And lastly, does she need urgent provocative testing after discharge?"