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Old 06-19-2013
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Hammer and Otoscope Do we do ABD exam in Chest Pain

Do we have to do ABD exam in chest pain all the time or specific time when we trying to rule our GERD/Peptic Ulcer Disease
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Not in all cases but when you are considering a differential like GERD/Peptic Ulcer Disease.
Also remember, a pt with angina can present as epigastric pain due to referred pain, so vice versa.
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Originally Posted by shima View Post
Do we have to do ABD exam in chest pain all the time or specific time when we trying to rule our GERD/Peptic Ulcer Disease
yes we would do but it will depend upon pain character, location and relation with food. not a biggie if you miss. I forgot to do ABD exam on a GERD case , walked out of room at 12 min and passed comfortably so i can be sure abt that
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Originally Posted by shima View Post
Do we have to do ABD exam in chest pain all the time or specific time when we trying to rule our GERD/Peptic Ulcer Disease

that's good question
yes sometimes there are test that not important or they are secondary to the case but mentioned in FA. in my opinion if the 5 minute remainig alarm already passed i will not do these test bec. counselling is more important, but if the 5 min. alarm not reached yet and i have time i will do all the required test. that's what i learned today from my practice.
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