Chest pain differentials Flashcards
Chest wall tenderness on palpation
Musculoskeletal chest pain
Rapid onset chest pain that radiates to scapula
Aortic dissection (“tearing pain”)
ST elevation only during brief episodes of chest pain
Prinzmetal angina
Pt. can’t localize pain with one finger
Musculoskeletal chest pain
Chest pain in dermatomal distribution
Herpes zoster
Most common cause of non-cardiac chest pain
Musculoskeletal chest pain
Rapid onset sharp pain in 20-yr old associated with dyspnea
Spontaneous pneumothorax
Occurs after heavy meals and improved by antacids
GERD
Esophageal spasm
Sharp pain lasting hours-days somewhat relieved by sitting fwd
Pericarditis
Pain made worse by deep breathing or motion
Musculoskeletal chest pain