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CHEST PAIN |
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NON-PLEURITIC |
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cardiac: |
ischaemia / infarction myocarditis |
|
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oesophageal: |
spasm rupture oesophagitis ulcer |
neoplasm achalasia diverticulum foreign body |
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referred: |
gastric / duodenal: |
hernia tumour peptic ulcer |
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biliary tree: |
cholecystitis cholelithiasis / impacted stone neoplasms |
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pancreatic: |
pancreatitis neoplasms |
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chest wall pathology: |
skin, including herpes zoster breast lesions 'musculoskeletal' pain |
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pulmonary: |
tumours pneumonia pulmonary embolism / infarction |
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other: |
mediastinal tumours, eg. lymphoma, thymoma atypical chest pain associated with mitral valve prolapse dissecting aortic aneurysm psychogenic |
|
|
PLEURITIC |
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cardiac: |
pericarditis Dressler syndrome / post-pericardiotomy |
|
|
pulmonary: |
pneumothorax pulmonary embolism / infarction haemothorax empyema |
pneumonia / tuberculosis tumours / malignant effusions bronchiectasis |
|
gastrointestinal: |
liver abscess pancreatitis |
subdiaphragmatic abscess Whipple's disease with pericarditis or pleurisy |
|
skin / musculoskeletal system: |
costochondritis chest wall trauma / fractured rib herpes zoster |
myositis 'muscle strain' soft tissue and bone tumours |
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other: |
psychogenic familial Mediterranean fever |
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