Patient complains of sudden onset pain in epigastrium region, retrosternal discomfort. ECG done. What is the diagnosis?



ECG is normal. You may give inj PPI and see if the pain subsides. Please repeat ECG after one hour if u think this could be of cardiac origin. Do consider other differential diagnosis of acute chest pain such as acute gastritis, GERD, acute pancreatitis, rupture of aortic aneurysm, acute pericarditis, costochondritis , acute pneumothorax , acute Pulmonary embolism, acute chest syndrome in sickle cell anemia etc. Please mention the vitals, age and gender of the patient.

ecg showing LVH, plz mention BP.high BP can have retrosternal chest pain.antihypertensive with anti anginal effect like ccb and beta blocker could help. if u have strong suspicion and or patient having cardiac risk factor, repeat ecg, get cardiac markers done as sometimes ecg take few minutes to show iscaemic changes. work out also on non cardiac pain differntial diagnosed like, GERD, muscular, acid peptic disease, hyperthyroid, anxiety.

st seems to be mildly elevated sign of either ischemia due to block or by hypertrophy go with trop t levels (will help to Dx)

ekg wnl, no sign of ami, give proton pump blocker, repeat ekg after 1 hr....

Please do cardiac triage. Repeat ECG. admit for observation. Cardiologist opinion.

Acute gastritis with Cholecystitis? USG CBD advice. Tab Rabeprozol 40 States Tab Dyclomine + Mefenamic+Paracetamol SOS. Mucaine MPS 2 TSF after meal. Refer to cardiologist for monitoring the Pt

Normal ecg

GERD or gastritis may be,, Ecg- wnl .give inj pan , n inj drotin

normal ecg advise serial ecg send markers

normal ecg advise serial ecg send markers

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