Chest Pain

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Ahhh, chest pain. My favorite, your favorite. Chest pain can range from benign to completely lethal, which is why health care professionals often develop sympathy chest pain when evaluating the patient with chest pain.[1] The differential diagnosis for chest pain is a long one. Buckle up and here we go!


Etiologies


It is best to divide the causes of chest pain into systems: cardiac, pulmonary, gastrointestinal, musculoskeletal, hematologic, psychiatric, and other bullsh*t.

Cardiac - The old ticker is potentially a ticking time bomb, and that's we have to take it seriously. The list of cardiac causes runs long:

  • Myocardial ischemia - This results from supply-demand mismatch and can manifest as angina, unstable angina, NSTEMI, and STEMI
  • Aortic dissection -
  • Pericardiitis


References


  1. Intern Has Mild Troponin Bump Over Patient’s Mild Troponin Bump (Gomerblog)


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