Chest Pain
Differential Diagnosis for chest pain:
Gastroesophageal reflux:
Buming chest pain, bad taste, cough at night, hoarsness.
Costochondritis:
Postive chest wall tendemess, point chest pain.
Myocardial infarction:
Crushing chest pain, chest pain occur during rest. The pain raditated to left arm, jaw, neck. It also associated with dizziness, fatigue, lightheadedness, clammy skin, cold sweat and N/V.
Stable angina:
squeezing chest pain that exacerbated by physical activity, Pain also radiated to jaw and neck, other symptoms are dizziness, fatigue and sweating
Pnuemonia:
fever, chest pain, cough, sputum.
Pulmonary embolus:
Sudden onset of shortness of breath, chest pain and tachycardia.
Pneumothorax:
sharp, pleuritic pain, tracheal deviation
Aortic dissection:
Chest pain that radiated to back, unequal blood pressure between arms
Pericarditis:
Chest pain that worse with lying flat, better when sitting up.
Diagnostic Work up for chest pain:
EKG
CK-MB/Troponin
Chest x-ray
Echocardiogram
CT scan of chest
Upper endoscopy
24 hours ph monitoring test