Tuesday, December 20, 2011

Angina Pectoris

- You must be able to diagnose anginal pain.

Anginal pain:

- May be dull aching, compression, squeezing or burning but never throbbing or stitching.

- Substernal radiating to left arm or both arms and shoulder (may radiate to epigastrium or back or neck root)

- Never under left breast.


- Increased by exertion and decreased by rest .


- ECG is normal at rest.

Treatment:

R/ Angised (Glycerine nitrate) tablets = Tridil tablets

1- Give one tablet sublingual. 
2- Refer the patient to a cardiologist or a hospital with a cardiology department.

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