What Are The Differential Diagnosis Of The Chest Pain?

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One of the most common symptoms encountered by doctors in everyday hospital life whether it is Emergency or Outpatient clinics is Chest Pain.

Chest Pain Differential Diagnosis has been chosen as the topic of the day, not only because of its frequency but it will reveal how diverse this complaint could be ranging from Acute MI and other spectra of atherosclerotic heart disease to various kinds of psychological illnesses. And if you are a medical student, so not to mention, your teachers will expect you to know the causes of chest pain on your fingertips.

The visual images added in this lecture will help you recall the thoracic pain differential diagnosis or more specifically differentials of chest pain not only during the stress of exams but also during work in a super busy hospital environment.

▬ ???? What Are The Differential Diagnosis Of The Chest Pain? ▬▬▬▬▬▬▬▬▬▬
We broadly classify the factors that cause Chest pain into 6 Categories which are devised according to all the organ systems present inside the thoracic cavity.

▬ ???? Cardiovascular Causes ▬▬▬▬▬▬▬▬▬▬
???? Ischemic heart disease: Myocardial infarction, Unstable Angina pectoris, Stable Angina pectoris
???? Pericarditis
???? Aortic Dissection

▬ ???? Gastrointestinal Causes ▬▬▬▬▬▬▬▬▬▬
???? Gastric chest pain may occur as a result of:
???? Gastroesophageal Reflux Disease (GERD)
???? Esophageal Spasm

▬ ???? Pulmonary Causes ▬▬▬▬▬▬▬▬▬▬
Differential diagnosis of pleuritic chest pain includes:
⚫️ Pneumonia
⚫️ Pulmonary Embolism
⚫️ Chest pain after Pneumothorax

▬ ???? Musculoskeletal Causes ▬▬▬▬▬▬▬▬▬▬
???? Costochondritis musculoskeletal pain
???? Chest Wall Injury
???? Secondary Tumors of Ribs

▬ ???? Dermatological Causes
???? Herpes Zoster

▬ ???? Psychological Causes ▬▬▬▬▬▬▬▬▬▬
???? Anxiety
???? Depression
???? Panic Attack

Chest pain ddx has been explained in this order keeping their frequency and severity in mind. Hopefully, if you follow this pattern, you will reach the diagnosis without much hassle.

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Category
Cardiology
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