Given case scenarios, the attendee will be able to:

1.  Distinguish angina from non anginal symptoms and pathology

2.  Identify documentation essentials for reporting angina

 

Definition, Theory, and Causative Factors of Angina

     Angina Types

     Variant Angina and Coronary Artery Spasm

 

Recognition of "chest pain" by the Clinician

     The Risk Factor Profile:  the "first clue"

     Etiology Recognition and Tests:  Interviewing and Examining the Patient

        Neuro-musculo-skeletal etiology recognition

          Paresthesias

          Radiculopathy

          Muscle strain

          Bursitis/tendonitis/cumulative trauma syndromes

          Rib fracture/costochondritis

          Thoracic Outlet Syndrome

          Shingles/herpes zoster

          Dental/jaw pain/TMJ

          5th Cranial nerve

          Ear pain  

          Hiatal hernia/GI reflux/esophageal spasm

          Chinese Restaurant Syndrome

          Pancreatitis

          Peptic ulcer disease (PUD)

          Anxiety attack

          Autonomic hyperreflexia    

      Cardiopulmonary etiology recognition

          Aortic aneurysm

          Bronchospasm

          Pericarditis

          Pleuritis

          Pneumothorax

          Primary pulmonary HTN

          Pulmonary embolus

          Intrapulmonary secretions

    

Differentiation through Medications:  Using Nitroglycerin

 

Clinician Action and Responsibilities:  Who to Call, When to Call, What to Say.......

      Application to various settings:  ICU, acute, SNF, Rehab, Oupatient, Home Health

 

Legal Considerations and Documentation

     Wording Recommendations

     Critical Timing of Reporting and Actions