[Thoracic pain in primary care. Don't forget the patients without heart disease].
Thoracic pain in primary care. Don't forget the patients without heart disease Thoracic pain is a frequent medical complaint. Diagnostic and therapeutic guidelines have been developed and evaluated mostly in emergency and hospital settings. The primary care practitioner, as the emergency room doctor, has to identify quickly any severe condition needing urgent and highly specialized treatment. But in primary care, the process is not finished then! A patient with no vital and urgent problem still needs a diagnosis, information and adequate treatment. This review goes over the presentation of thoracic pain, the differential diagnoses and the challenge of treating such patients in ambulatory care.
Herzig
Lilli
L
Institut universitaire de médecine générale, Université de Lausanne. Lilli.Herzig@hin.ch
Mühlemann
Nicole
N
Verdon
François
F
Jaunin-Stalder
Nicole
N
Favrat
Bernard
B
D001526:Behavioral Symptoms / Q000150:complications / Q000175:diagnosis; D002637:Chest Pain / Q000209:etiology*; D004632:Emergency Medical Services; D005767:Gastrointestinal Diseases / Q000150:complications / Q000175:diagnosis; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D013896:Thoracic Diseases / Q000150:complications / Q000175:diagnosis