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I Have A Case Study That I Am Working On.

Posted on Wed, 7 Nov 2018

Question: I have a case study that I am working on. A 58-year old male presents with a complaint of severe chest pain over the past hour.

Answered by Dr. Dr. Prasad J (1 hour later)

Brief Answer:
Priority is to exclude a cardiac condition...

Detailed Answer:
Hi,

The given information is insufficient to come to a conclusion. However as the patient is 58 years and he had sudden severe chest pain, the priority will be to exclude a heart condition - coronary heart disease.

If you have any other specific questions, let me know.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (18 minutes later)

for CAD would you prescribe Nitroglycerin? and if so 2.mg t0 5mg Q 5 mins x3?

Answered by Dr. Dr. Prasad J (22 minutes later)

Brief Answer:
Antiplatelet drugs...

Detailed Answer:
Hi,

In case it's indeed CAD, I would prescribe antiplatelet drugs ecosprin in doses as high as 300mg.
Nitroglycerine will be used if blood pressure is on the higher side. I would start with 0.3mg and repeat the dosage if necessary all the while monitoring BP.

Hope I am clear. Let me know if you have any more concerns.

Regards

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar