chapter  Case 20
2 Pages

Chest pain

This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage chest pain — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a 52-year-old businessman who attends the emergency surgery at his general practice with a 3-hour history of right-sided chest pain. The pain developed suddenly when he stretched to pick something up from the ground in the office. It is a sharp stabbing pain, made worse by deep breathing, but is not related to any movements. He denies any feeling of breathlessness. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.