Medical and Health Concerns Noted in the Document
The document contains multiple medical and health concerns including musculoskeletal chest pain, respiratory issues, cardiovascular conditions, COVID-19 related concerns, and various symptoms that require clinical evaluation and follow-up.
Musculoskeletal Chest Pain Conditions
- Costochondritis: Inflammation of one or more ribs and/or cartilages causing musculoskeletal chest pain 1
- Rib injury: Trauma to one or more ribs resulting in musculoskeletal chest pain 1
- Slipping rib syndrome: Condition where one or more ribs sublux from the joint causing chest pain 1
- Sternal injury: Trauma to the sternum causing musculoskeletal chest pain 1
- Intercostal myofascial injury: Trauma to connective tissues between ribs causing chest pain 1
- Myositis: Inflammation of muscle tissue causing chest pain 1
- Enterovirus epidemic myalgia (pleurodynia/Bornholm disease): Infectious myositis causing chest pain 1
- Psychogenic chest pain: Sensation of musculoskeletal chest pain due to conversion disorder 1
- Dysfunctional breathing/hyperventilation: Chest pain associated with inappropriate hyperpnea or tachypnea 1
- Precordial catch syndrome (Texidor's twinge): Brief, sharp chest discomfort associated with inspiration 1
Respiratory Concerns
- Hypoxemia: Arterial oxygen tension lower than normal range 1
- Desaturation: Percentage of filled hemoglobin binding sites for oxygen lower than normal 1
- Dyspnea: Labored breathing 1
- Tachypnea: Rapid breathing 1
- Hyperpnea: Deeper breathing than normal 1
- Stridor: Loud or harsh inspiratory noise associated with upper airway obstruction 1
- Wheezing: Raspy high-pitched whistling sound on expiration or inspiration associated with lower airway obstruction 1
- Coughing: Forceful expulsion of air with harsh sound 1
- Hemoptysis: Coughing up blood from lungs 1
Cardiovascular Concerns
- Heart failure: Inadequate heart function to meet metabolic needs 1
- Cardiomegaly: Heart noted to be larger than normal 1
- Palpitations: Sensation of abnormal heart beating in rate, rhythm, or force 1
- Irregular heartbeat: Abnormal heart rhythm 1
- Coronary artery disease risk: Increased risk associated with chronic cough 1
- Myocarditis: Severe cardiac illness that can occur with COVID-19 1
- Pericarditis: Inflammation of the pericardium 1
- Left or right ventricular dysfunction: Cardiac complication that can occur with COVID-19 1
COVID-19 Related Concerns
- Acute COVID-19 infection: Confirmed, probable, or suspected cases based on testing and symptoms 1
- Prior COVID-19 infection: With or without residual sequelae 1
- COVID-19 reinfection: New discrete episode in person with prior history 1
- Multisystem inflammatory syndrome: Characterized by fever and multiple organ involvement 1
Other Clinical Concerns
- Epistaxis: Bleeding from the nose 1
- Poor feeding: Inability to take in normal amounts of food 1
- Anorexia nervosa: Emotional disorder with obsessive desire to lose weight by refusing to eat 1
- Failure to thrive: Insufficient weight gain 1
- Hypercyanotic spell: Profound cyanosis associated with hyperpnea 1
- Fatigue/lassitude: Extreme tiredness 1
- Delayed development: Failure to achieve expected mental or physical milestones for age 1
- Headache: Continuous pain in the head 1
- Decreased exercise tolerance: Inability to perform increased physical activity compared to normal levels 1
- Acrocyanosis: Bluish coloration in distal portions of extremities 1
- Breath-holding spells: Brief involuntary cessation of breathing in response to emotional or painful stimuli 1
- Ascites: Accumulation of interstitial fluid in peritoneal cavity 1
Ophthalmic Concerns
- Retinal artery occlusion: Potentially associated with stroke risk and requiring urgent evaluation 1
- Ophthalmic artery occlusion: May represent initial manifestation of systemic or embolic process 1
Documentation Concerns
- Incomplete documentation of social and emotional health topics: Research shows these are documented only 30.6% of the time after discussion 2
- Inconsistent documentation patterns: Varied and fragmented recording methods for health care 3
- Potential for missing important clinical information: Only 59% of information from patient-physician interactions typically appears in medical records 4