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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We prospectively evaluated 62 adults referred for coronary arteriography, using a systematic physical examination protocol to identify musculoskeletal sources of chest pain. In seven patients (11%) the chest pain was reproduced on physical examination; six of them ultimately had a diagnosis of nonanginal chest pain made by their cardiologist, based on history and data from noninvasive and coronary arteriographic studies. Five had normal coronary arteriograms. These patients described their pain in terms often associated with true angina. Musculoskeletal tenderness that did not reproduce the pain was common and was unrelated to coronary artery disease. Demonstration of musculoskeletal tenderness that reproduces chest pain, when combined with noninvasive findings suggesting low probability of coronary artery disease, may be useful in decreasing the incidence of unnecessary invasive cardiac evaluation, and appropriately directing initial therapy.
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PMID:Musculoskeletal chest pain in patients with "angina": a prospective study. 230 11

A 20-year-old woman, G2P1, presented to the labor and delivery triage with right flank pain and emesis of sudden onset without any precipitating factors. The patient denied history of trauma, anticoagulant therapy, or hypertension. At the time of admission, the patient was in severe pain, was afebrile, had a blood pressure of 139/79, and heart rate of 96. Abdominal exam revealed no tenderness to palpation without guarding or rebound. Musculoskeletal tenderness was elicited from infra-scapular region to the sacroiliac joint on the right side. Mild right costovertebral tenderness was noted. Her cervix was dilated 3cm, effaced 50 percent, with fetal station at -3, unchanged from previous visit. Fetal monitor tracing was reassuring and obstetric ultrasonogram at 22 weeks showed normal fetal anatomy. Magnetic resonance imaging (MRI) revealed T2 hyperintense signal involving and surrounding the right adrenal gland suggesting infarct.
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PMID:AND YOU THOUGHT HORMONES WERE THE PROBLEM IN PREGNANCY. 2715 72