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Chest pain
A patient with chest pain poses one of the most complicated diagnostic challenges. The differential diagnosis is extensive and includes several life-threatening, time-critical, must not miss diagnoses. The differential is best remembered anatomically, giving consideration to structures from the skin to the internal organs.
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A patient with chest pain poses one of the most complicated diagnostic challenges. The differential diagnosis is extensive and includes several life-threatening, time-critical, must not miss diagnoses. The differential is best remembered anatomically, giving…
The physician must avoid the cognitive bias of “playing the odds,” favoring the common benign, rather than the uncommon serious, diagnoses.
The initial pivotal points in the evaluation of chest pain are the duration of symptoms and the patient’s vital signs. Patients with normal vital signs and subacute or chronic chest pain usually seek medical attention in primary care setting while those with acute pain and vital sign abnormalities more commonly go to the emergency department.
The initial pivotal points in the evaluation of chest pain are the duration of symptoms and the patient’s vital signs. Patients with normal vital signs and subacute or chronic chest pain usually seek medical attention in primary care setting while those with acute pain and vital sign abnormalities more commonly go to the emergency department.
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Myocardial Infarction (MI) in women
Women, being women, have a different presentation for MI:
- They are more likely than men to present without chest pain. And they use different terms than men, like "burning" and "tender", to describe the pain.
- they often report prodromal symptoms like dyspnea, fatigue, and insomnia which are common presenting symptoms.
- Also, these gender differences become less pronounced with older age.
- They are more likely than men to present without chest pain. And they use different terms than men, like "burning" and "tender", to describe the pain.
- they often report prodromal symptoms like dyspnea, fatigue, and insomnia which are common presenting symptoms.
- Also, these gender differences become less pronounced with older age.
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https://youtu.be/LTdquzu-BXg
بكل العصور، دائمًا يتم تصوير الهمج مو على أنهم أغبياء، بقدر ما أنهم ما يهتمون للفن والأدب وبالنتيجة ما يقدّرون القيم اللي تقوم عليها الثقافة والحضارة. الفيديو الفوك مثال جيد.
أنْ يلومَ المرءُ الآخرين على ما أصابه، ذلك من شيمةِ الجاهل. أمّا بداية العلم فأن تلومَ نفسك، وأمّا تمام العلم فألّا تلومَ نفسك ولا غيرك.
- المختصَر، إبكتيتوس
- المختصَر، إبكتيتوس
لا تَطلبْ مِن الأشياء أنْ تَجري مثلما تُريد أنت، بل اطلبْ أنْ تَجري الأشياءُ مثلما تجري، وبذلك تُمضي حياتَك في سكينةٍ وسلام.
- المختصَر، إبكتيتوس
- المختصَر، إبكتيتوس
The whole modern conception of the world is founded on the illusion that the so-called laws of nature are the explanations of natural phenomena.
Thus people today stop at the laws of nature, treating them as something inviolable, just as God and Fate were treated in past ages.
- Ludwig Wittgenstein
Thus people today stop at the laws of nature, treating them as something inviolable, just as God and Fate were treated in past ages.
- Ludwig Wittgenstein
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The whole modern conception of the world is founded on the illusion that the so-called laws of nature are the explanations of natural phenomena. Thus people today stop at the laws of nature, treating them as something inviolable, just as God and Fate were…
إنّ التصوّر الحديث للعالَم مبنيٌّ بأكملِه على الوهم بأنّ ما تسمّى قوانين الطبيعة هي تفسيرٌ للظواهر الطبيعية.
لهذا فإنّ أبناء الحاضِر يتوقفون عند القوانين الطبيعية ويعاملونها كما لو أنّها غير قابلةٍ للكسر، بالضبط مثلما تعامَل أبناءُ الماضي مع الإله والقَدَر.
لهذا فإنّ أبناء الحاضِر يتوقفون عند القوانين الطبيعية ويعاملونها كما لو أنّها غير قابلةٍ للكسر، بالضبط مثلما تعامَل أبناءُ الماضي مع الإله والقَدَر.