clinical approach to a patient with chest pain

2. CARDIAC NON CARDIAC

3.  ANGINA
 MI
 PERICARDITIS
 MYOCARDITIS
 MITRAL VALVE PROLAPSE

4.  RESPIRATORY
 GIT
 NEUROLOGICAL
 VASCULAR
 MUSCULOSKELETAL
 PSYCHOGENIC

5.  TRACHEITIS
 MEDIASTINITIS
 PLEURAL PAIN
 PULMONARY EMBOLISM , INFARCT
 PULMONARY HYPERTENSION

6.  SPONTANEOUS PNEUMOTHORAX
 PNEUMONIA
 MALIGNANCY
 TUBERCULOSIS

7.  ESOPHAGITIS
 ESOPHAGEAL SPASM
 GERD
 MALLORY WEISS SYNDROME

8.  THORACIC OUTLET SYNDROME
 INTERVERTEBRAL DISC PROLAPSE
 HERPES ZOSTER

9.  AORTIC DISSECTION
 AORTIC ANEURYSM

10.  COSTOCHONDRITIS
 MYALGIA
 RIB FRACTURE
 D/S OF RIBS, SPINE, SHOULDER
 INTERCOSTAL MUSCLE INJURY

11.  ANXIETY

12.  CARDIAC PAIN  NON CARDIAC PAIN
 CENTRAL, DIFFUSE  PERIPH,LOCALIZED
 CONSTICTING  STABBING
 RADIATION  PRESENT/ ABSENT
 EXERTION,EMOTION  POSTURE, MVMT
 NOT RELIEVED
 REST, NITRATES  SYSTEM RELATED
 BREATHLESSNESS,
 AUT DISTURBANCES