in summary,chest pain is a very broad symptom that may encompass various diagnoses. the key is not fall into the trap of satisfaction of search and fail to consider other diagnoses. cardiac and pulmonary causes are the highest priorities.
although a thorough history can help narrow the list of differential diagnoses, the patient's physical presentation and diagnostic studies help prioritize the list. clinicians must rely on their assessment skills and interpretation of the data. A key factor for clinicians to remember is that "time is muscle";hence,pain being elicited from episodes of myocardial ischemia needs to be fully evaluated before a cardiac cause can be dsimissed. by combining a thorough history with refined assessment skills and proper diagnostic test,advanced practice registered nurses can develop an individualized list of probable with the initial complaint of Ei hae chest painE