Presenting complaint; "chest pain"

Transcript

1. Presenting complaint; "chest pain" Multiple pathologies to be considered; >50% of ED presentations w/ CP are non-cardiac Cardiovascular Acute myocardial infarction Aortic dissection Pulmonary embolism Cardiac tamponade Myocardial /valvular rupture Cardiac contusion Tachyarrhythmia /bradyarrhythmia Valvular heart disease Unstable angina Myocarditis /pericarditis Endocarditis Coronary vasospasm Stable angina Cardiomyopathy Hypertension Chronotropic incompetence Life-threatening Urgent Non-urgent Respiratory Tension pneumothorax Acute asthmatic attack Pneumonia Pneumo /haemo /pyo /hydro -thorax Exacerbation of asthma or COPD Pulmonary hypertension Tuberculosis Viral pleurisy Gastrointestinal & Abdominal Ruptured abdominal aortic aneurysm Oesophageal rupture /varices Pancreatitis Cholecystitis /biliary colic Oesophageal/ reflux /spasm /stricture /foreign body /oesophagitis Peptic ulcer Musculoskeletal Penatrating trauma Septic arthritis /uncomplicated arthritis Costochondritis /chest wall injury Rib /sternal fracture Osteomyolitis Cervical angina Soft tissue injury Other Mediastinitis /mastitis Malignancy Fibromyalgia Psychological/Anxiety Hyperventilation Precordial catch syndrome Lupus Post-herpetic neuralgia Herpes zoster Gynaecomastia Simon Mark Daley (v2 2021) Inspired by strata5.co.uk