DIFFERENTIAL DIAGNOSIS OF CHEST PAIN:

Cardiovascular:

• Acute coronary syndrome
• Angina
• Aortic dissection.
• Arrhythmia
• Valve disease
• Acute pericarditis (pleuritic).
• Cardiac tamponade.
• Stress (Takotsubo) cardiomyopathy.

Pleuritic chest pain i.e. pain on inspiration, is a sign of pleural inflammation. Caused by:

• Pneumonia
• PE
• Pneumothorax
• Pericarditis
• Viral pleurisy.
• Lung cancer.
• Pleural effusion

GI:

• GORD: commonest non-cardiovascular cause.
• Peptic ulcer disease.
• Gallstones
• Pancreatitis

Other:

• Musculoskeletal: trauma, costochondritis.
• Anxiety: panic attack.
• Functional: chest wall syndrome.
• Shingles. Pain may come before rash

Taken From Medicos PDF App