Chest pain:
Differential diagnosis
Cardiovascular:
Acute coronary syndromeAnginaAortic dissection.ArrhythmiaValve diseaseAcute pericarditis (pleuritic).Cardiac tamponade.Stress (Takotsubo) cardiomyopathy.
Pleuritic chest pain i.e. pain on inspiration, is a sign of pleural inflammation. Caused by:
PneumoniaPEPneumothoraxPericarditisViral pleurisy.Lung cancer.Pleural effusion.
GI:
GORD: commonest non-cardiovascular cause.Peptic ulcer disease.GallstonesPancreatitis
Other:
Musculoskeletal: trauma, costochondritis.Anxiety: panic attack.Functional: chest wall syndrome.Shingles. Pain may come before rash.
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