Term	Definition	Example
Chest pain	The presenting symptom, and the episode's chapter title. Patient language and clinical language are the same word here.	"Can you tell me exactly where the chest pain is?"
Onset	When and how something started, sudden or gradual. The first question asked in a chest-pain history, because sudden onset signals more urgency. — recall Ep. 03	"Was the onset sudden, or did it build up gradually?"
Radiation	Whether the pain spreads elsewhere — classically the arm, jaw, or back. Purely descriptive; naming it implies no conclusion.	"Does the pain radiate anywhere, into your arm or your jaw?"
Associated symptoms	The umbrella clinical phrase for everything accompanying the pain: breathlessness, sweating, nausea.	"Any associated symptoms, breathlessness, sweating, feeling sick?"
Shortness of breath	Met previously in an asthma review. Here it's part of an emergency history, so the same words carry a different pace and weight. — recall Ep. 15	"Any shortness of breath along with the pain?"
ECG / EKG	Same abbreviation as a GP referral episode, but a point-of-care test done in minutes here, not a form sent to a specialist. UK convention: ECG; US: EKG. — recall Ep. 08	"We're going to get an ECG straight away."
Troponin	A blood marker checked to help rule out heart-muscle damage. Taught as concept and word only — no lab value or cutoff given.	"We'll take some blood to check your troponin level."
Cardiac monitor	The continuous trace attached in the triage bay. Different from an ECG, which is a single, one-off recording.	"We'll pop you on the cardiac monitor while we wait."
Rule out	The episode's highest-value phrase — explains why an urgent test is happening without suggesting the worst is expected.	"We do these checks to rule out anything serious."
Pathway	The structured, protocol-driven route a chest-pain patient follows through the department: monitor, ECG, bloods, doctor review.	"You're on our chest pain pathway now, so every step is standard."

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