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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - After 10 days of being on ventilator support, he had worsening of his oxygenation, and a chest radiograph … A computed tomography scan of the chest showed a necrotizing pneumonia in the right lower lobe.
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www.ahrq.gov/hai/cauti-tools/ena-slides/case-study.html
October 01, 2015 - The chest radiograph reveals an enlarged cardiac shadow with consolidation in both lower lung fields. … in the bases about halfway up
Fowler position
Ambulation produces severe shortness of breath
Chest
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - describe alternate methods of assessing patients for post-procedural pneumothorax without
routine chest … patient was transferred to the post-acute care
unit (PACU) for observation and a routine post-procedure chest … if not treated with tube thoracostomy.5 Most commonly, patients complain of
ipsilateral pleuritic chest … psnet.ahrq.gov//#9
because of implicit bias in providers’ assessment of symptoms such dyspnea and chest … Thorax. 2013;68:i1. [Free full text]
10. Centola D, Guilbeault D, Sarkar U, et al.
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Diffuse bilateral crackles were heard on chest auscultation. … Chest radiography showed bilateral pulmonary edema. … Bedside chest imaging confirmed the guidewire’s position. … be 70% sensitive and 99% specific. 6 Positioning of the CVC was in agreement between ultrasound and chest … patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - patient's arrival to the ED, as up to 33% of patients with myocardial infarctions do not present with chest … Studies have also shown that these alerts lead clinicians to more frequently order lactate, chest radiographs … American College of Chest Physicians/Society of Critical Care Medicine. Chest. 1992;101:1644-1655. … clinical characteristics, and mortality among patients with myocardial infarction presenting without chest … Chest. 2018;1542:302-308.
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - The movement of the chest and abdomen becomes non-synchronous, a pattern often described as
paradoxical … During normal breathing, the chest and the abdominal walls move outwards together
during inspiration … During airway obstruction, the abdomen moves out while the chest moves in because of
the negative pressure … created within the thorax.5 This type of complete airway obstruction needs to be
corrected emergently … Chest.
2016;150(4):927-933. [Available at]
14. Liu R, Wang J, Zhao G, et al.
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psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
January 29, 2021 - An urgent chest X-ray did not reveal any pneumothorax. … A small preexisting pneumothorax that was not visible on the preoperative chest radiograph may expand … A chest drain should be inserted whenever a spontaneously breathing patient with known pneumothorax is … An ultrasound, chest radiograph, or flexible bronchoscopy may help to diagnose the cause of the problem … the patient in the prone position and during brainstem surgery, when the patient’s chin touches their chest
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - The movement of the chest and abdomen becomes non-synchronous, a pattern often described as paradoxical … During normal breathing, the chest and the abdominal walls move outwards together during inspiration. … During airway obstruction, the abdomen moves out while the chest moves in because of the negative pressure … created within the thorax. 5 This type of complete airway obstruction needs to be corrected emergently … Chest . 2016;150(4):927-933. [ Available at ]
Liu R, Wang J, Zhao G, et al.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0095_04-10-2009.pdf
January 01, 2009 - She is particularly interested in women who present with chest pain. … Population(s): Women presenting with chest pain
Intervention(s): Noninvasive technologies for the diagnosis
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_9.pdf
January 01, 2007 - GROWTH
1997 2007 1997 2007 1997-2007
Circulatory 353 447 100.0% 100.0% 27%
Non-specific chest … Hospital stays for several conditions grew at least 50 percent:
Non-specific chest pain increased
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_11.pdf
January 01, 2007 - GROWTH
1997 2007 1997 2007 1997-2007
Circulatory 205 320 100.0% 100.0% 56%
Non-specific chest … conditions grew at least 50 percent:
Stays for two circulatory conditions grew rapidly: non-specific chest
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_4_1A.jsp
January 01, 2005 - $3,046.3596
$3,779.3019
$3,864.6420
1.5
1.2
1.2
16
18
18
102
Non-specific chest … hip fracture)
89.566960
85.846761
99.333691
102
Non-specific chest
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psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
June 13, 2015 - wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest … wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest
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hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit2_3.jsp
January 01, 2007 - Cardiac dysrhythmias (irregular heart beat)
360
370‡
2.2
1.6
49.3
31
25
Non-specific chest … diagnoses—coronary artery disease, congestive heart failure, heart attacks, cardiac dysrhythmias, and non-specific chest … Women accounted for a greater share of hospitalizations for non-specific chest pain (55 percent of stays
-
hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit2_1.jsp
January 01, 2008 - 1.7
2.0
7
6
39
Septicemia
413
791
1.2
2.0
17
7
91
Non-specific chest … Four circulatory diseasescongestive heart failure, coronary artery disease, non-specific chest pain, … Stays for irregular heart beat increased 39 percent between 1997 and 2008 and stays for non-specific chest
-
hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit2_5.jsp
January 01, 2009 - infant)
191
218
11%
9%
15%‡
Mood disorders
55
90
3%
4%
64%
Non-specific chest … alcohol-related conditions and over 10 percent of all stays for skin infections, mood disorders, and non-specific chest … from 1997 to 2009: alcohol-related disorders (36 percent), mood disorders (64 percent), non-specific chest
-
psnet.ahrq.gov/node/60260/psn-pdf
April 22, 2020 - Care Nurses,
and American College of Chest Physicians. March 26, 2020.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - American College of Chest Physicians/Society of Critical Care Medicine. … Chest. 1992;101:1644-1655. https://www.ncbi.nlm.nih.gov/pubmed/1303622
Haydar S, Spanier M, Weems P, … clinical characteristics, and mortality among patients with myocardial infarction presenting without chest … Chest. 2018;154:302-308. https://www.ncbi.nlm.nih.gov/pubmed/29804795
17
Best Practices (2)
Systematic … Chest. 2018;154:302-308. https://www.ncbi.nlm.nih.gov/pubmed/29804795
18
This Case
The patient presented
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - diagnoses14
Framing and Premature Closure (3)
• ECGs are common diagnostic studies used to evaluate chest … coronary
syndromes
— ST-segment abnormalities in a patient with a recent history of head
trauma and no chest … Chest. 2010;138(5):1093-1100. doi:10.1378/chest.10-0134.
References (2)
30
15.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nV4GCeHGsZrfKUWxo9_zZb
April 01, 2023 - • Additional examinations, diagnostics, and tests (ie, medical history, physical examination, chest … including weakness, weight loss, fever, no appetite, chills,
sweating at night, bad cough, pain in the chest