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  • Chest Pain Differential

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    habboura
    23 vizualizări2 pagini
    This document outlines the various etiologies of chest pain, which can be caused by issues in the chest wall, cardiovascular system, hyperadrenergic states, gastrointestinal tract, lungs, mediastinum, psychological factors, or referred pain from other areas. Chest wall pain is the most common cause, and can result from musculoskeletal issues, skin/nerve problems, or non-rheumatic diseases. Cardiovascular causes include ischemic issues like coronary artery disease, non-ischemic valve problems, or conditions affecting the aorta. Hyperadrenergic states, gastrointestinal reflux, and lung issues can also manifest as chest pain.

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    This document outlines the various etiologies of chest pain, which can be caused by issues in the chest wall, cardiovascular system, hyperadrenergic states, gastrointestinal tract, lungs, mediastinum, psychological factors, or referred pain from other areas. Chest wall pain is the most common cause, and can result from musculoskeletal issues, skin/nerve problems, or non-rheumatic diseases. Cardiovascular causes include ischemic issues like coronary artery disease, non-ischemic valve problems, or conditions affecting the aorta. Hyperadrenergic states, gastrointestinal reflux, and lung issues can also manifest as chest pain.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
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    23 vizualizări2 pagini

    Chest Pain Differential

    Încărcat de

    habboura
    This document outlines the various etiologies of chest pain, which can be caused by issues in the chest wall, cardiovascular system, hyperadrenergic states, gastrointestinal tract, lungs, mediastinum, psychological factors, or referred pain from other areas. Chest wall pain is the most common cause, and can result from musculoskeletal issues, skin/nerve problems, or non-rheumatic diseases. Cardiovascular causes include ischemic issues like coronary artery disease, non-ischemic valve problems, or conditions affecting the aorta. Hyperadrenergic states, gastrointestinal reflux, and lung issues can also manifest as chest pain.

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
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    din 2

    Chest Pain Differential

    Etiologies:

    ● Chest wall
    ● Cardiovascular
    ● Hyperadrenergic states
    ● Gastrointestinal
    ● Pulmonary
    ● Mediastinal
    ● Psychogenic
    ● Refferred pain
    Chest wall: (36%)

    ● Muskuloskeletal:
    - Costochondritis
    - Rheumatic involvement of costovertebral joints
    - Non-rheumatic systemic diseases (stress fractures due to coughing; neoplasms;
    sickle cell anemia)
    ● Skin and sensory nerves:
    - Herpes zoster
    - Post radiation neuralgia
    Cardiovascular:

    ● Ischemic:
    - Coronary artery disease
    - Non-coronary (coronary vasospasm; tachycarrhytmias; hypotension; hypertensive
    crisis; valvular disease)
    ● Valvular disease:
    - Aortic stenosis
    - Mitral stenosis or pulmonic stenosis rarely present with chest pain
    ● Nonischemic:
    - Pericarditis
    - Myocarditis
    - Acute aortic syndromes (acute aortic dissection; intramural aortic hematoma;
    penetrating aortic ulcer)
    Hyperadrenergic states:

    ● Stress-induced cardiomyopathy
    ● Cocaine intoxication
    ● Methamphetamine intoxication
    ● Pheochromocytoma

    Gastrointestinal:

    ● GERD
    ● Oesophageal hypersensitivity to pain
    ● Abnormal motility pattern and achalasia
    ● Eosphageal rupture, perforation and foreign bodies
    ● Other causes of oesophagitis (medication induced[antibiotics, NSAIDS]; infections)
    ● Hiatus hernia

    Pulmonary:

    ● Vaculature:
    - Embolism
    - Pulmonary hypertension or cor pulmonale
    ● Parenchyma:
    - Pneumonia
    - Cancer
    - Sarcoidosis
    ● Asthma exacerbation and COPD
    ● Pleura and pleural space:
    - Pneumothorax
    - Pleuritis
    - Pleural effusion
    Mediastinal

    Psychogenic:

    ● Panic disorder
    ● Depression
    ● Hypochondria
    ● Cardiac cancer or other phobias

    Referred pain

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