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CHESTPAIN - CHEST PAIN VETA ZIKOS CHEST PAIN Accounts for 5...

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CHEST PAIN VETA ZIKOS
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CHEST PAIN Accounts for 5% of all ED visits per year Differential diagnosis is extensive
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CHEST PAIN ANATOMY DIFFERENTIAL DIAGNOSIS BRIEF OVERVIEW OF DISEASE PROCESSES CAUSING CHEST PAIN APPROACH TO CHEST PAIN
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ANATOMY In devising a differential diagnosis for chest pain, it becomes essential to review the anatomy of the thorax. The various components of the thorax can all be responsible for producing chest pain
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ANATOMY SKIN MUSCLES
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ANATOMY BONES
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ANATOMY PULMONARY SYSTEM
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ANATOMY HEART
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ANATOMY VASCULATURE AND GI SYSTEM AORTA AND ESOPHAGUS
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DIFFERENTIAL DIAGNOSIS OF CHEST PAIN CHEST WALL PAIN PULMONARY CAUSES CARDIAC CAUSES VASCULAR CAUSES GI CAUSES OTHER (PSYCHOGENIC CAUSES)
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DDX: CHEST PAIN CHEST WALL PAIN -Skin and sensory nerves - Musculoskeletal system
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DDx: CHEST PAIN CHEST WALL PAIN -Skin and sensory nerves -Herpes Zoster - Musculoskeletal system - Isolated Musculoskeletal Chest Pain Syndrome *Costochondritis *Xiphoidalgia *Precordial Catch Syndrome *Rib Fractures - Rheumatic and Systemic Diseases causing chest wall pain
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DDX: CHEST PAIN PULMONARY CAUSES - Pulmonary Embolism - Pneumonia - Pneumothorax/ Tension PTX - Pleuritis/Serositis - Sarcoidosis - Asthma/COPD - Lung cancer (rare presentation)
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DDx: CHEST PAIN CARDIAC CAUSES - Coronary Heart Disease * Myocardial Ischemia *Unstable Angina *Angina - Valvular Heart Disease * Mitral Valve Prolapse *Aortic Stenosis - Pericarditis/Myocarditis
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DDX: CHEST PAIN Vascular Causes: -Aortic Dissection
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DDX: CHEST PAIN GI CAUSES -ESOPHAGEAL * Reflux * Esophagitis * Rupture (Boerhaave Syndrome) * Spasm/Motility Disorder/Foreign Body Secondary to Stricture/Web/Etc - OTHER * Consider Pain referred from PUD, Biliary Disease, or Pancreatitis
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DDX: CHEST PAIN PSYCHIATRIC - PANIC DISORDER - ANXIETY - DEPRESSION - SOMATOFORM DISORDERS
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CHEST PAIN BRIEF OVERVIEW OF DISEASE PROCESSES CAUSING CHEST PAIN
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CHEST WALL PAIN .
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CHEST WALL PAIN HERPES ZOSTER -Reactivation of Herpes Varicellae - Immunocompromised patients often at risk for reactivation. - 60% of zoster infections involve the trunk - Pain may precede rash
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