hello guys i'm doctor magesto i welcome you all back to this news session i know it's been a long time since i made my last video uh because i just got held up at my work because of crazy co-weed and now here i am uh let's make this a session today useful and the topic for today's discussion is chest pain uh why i'm making this chest pain serious is because from my previous video on chest pain a lot of people you know have asked me so many questions you know how to differentiate your spin from heart or from lungs or from the other organs in your chest and when to go see a doctor how to get it managed at home and things like that so this topic is for that okay you want to get all the answers uh to your question so please make sure you watch this video without skipping all right so if you are not subscribed to my channel yet please go ahead and hit the subscription button do like this video or leave a comment down below if you like this channel or video okay chest pain uh chest pain like you know it's the most common complaint that most people uh you know complained of when they come into clinic whether the pain is coming from the heart lungs or from the bone skins they do not know they just have only complaint of chest pain and we just as a doctor we have to make sure you know what this patient is complaining of whether the chest pain is coming from the skin or from the bones or from the nerves or from the muscles or from the lungs or from the covering of the lungs or from the heart itself things like that there are so many organs in our chest right and you go from superficial to the deep we have a skin and then under skin we have a cute fatty layer and then we have a rib cage's bones and then we have a brush bones like a sternum we have here and down below that we have both sides lungs and uh with covering of the lungs pleura and then in between the lungs we have a heart and it's hot layer okay these are the sources when any of these organs are get inflamed or infected or something goes wrong you get pain okay so when i see a patient with chest pain i would always you know put in some leading questions uh to navigate or to differentiate or narrow down the possible causes of chest pain any time when patient complains of pain or chest pain or headache whatever stomach pain leg pain any pain we have to uh put these leading questions to our patient you have to remember the sick aura sight is more important okay where the pain is whether it is in the left side of the heart or on the right side of the chest whether the pain is like so severe or dull pain or tabbing pain or short pain or pressure like kind of discomfort something like that and the intensity of pain is very important s i q o r a s for sight and eye for intensity of the pain you know we always ask we ask our patient to grade the pain on a scale of one to ten where one being the least or ten being the worst pain you ever had so so one two ten a patient would say doc you know yesterday it was uh two two over ten now it is six over ten which means that the pain has gotten worse so that gives us a clue and next thing is q
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