Introduction. Chest pain is a common clinical symptom and can range from mild discomfort to severe pain. However, chest pain can be varied, from cardiovascular disease to lung disease and even musculoskeletal problems. Therefore, it is crucial to accurately differentiate the diagnosis of chest pain. The differential approach to chest pain will be described in detail here, and some of the most common ones will be listed.
1. Differential diagnosis of chest pain.
1.Cardiogenic chest pain.
Cardiogenic chest pain is the most common cause of chest pain, which includes angina, myocardial infarction, etc. Angina pectoris, which is caused by insufficient blood supply to the coronary arteries, usually occurs during exertion or emotional exertion and is short-lived. Myocardial infarction is caused by coronary artery blockage, resulting in myocardial ischemia and necrosis, which is more severe and lasts longer.
2.Cormonale chest pain.
Cormonale chest pain includes pneumonia, tuberculosis, pulmonary embolism, etc. Chest pain caused by pneumonia and tuberculosis is often accompanied by cough and sputum production, while pulmonary embolism can cause severe chest pain and difficulty breathing.
3.Chest pain caused by digestive disorders.
Digestive disorders such as gastroesophageal reflux, cholecystitis, pancreatitis, etc., can also cause chest pain. This type of chest pain is often accompanied by digestive symptoms such as nausea, vomiting, stomach upset, etc.
4.Chest pain caused by musculoskeletal disorders.
Musculoskeletal disorders such as intercostal neuralgia, muscle strains, etc., can also cause chest pain. This type of chest pain is often marked with focal tenderness and muscle tension.
5.Neurogenic chest pain.
Neurogenic chest pain, such as herpes zoster, pericarditis, etc., is more severe, often accompanied by symptoms such as ** lesions or fever.
2. Key points in the differential diagnosis of chest pain.
When differentiating chest pain, doctors need to focus on the following points:
1.Nature of pain: The nature of the pain is helpful in determining **, e.g., compressive pain is mostly cardiac and sharp pain may be pulmonary or neurogenic .
2.Location of pain: The location of pain can help determine the location of the lesion, as cardiogenic chest pain is often in the precordium and pulmonary pain may be in the lungs.
3.Duration of pain: The duration of pain can help determine the severity of the lesion, as acute pain may be myocardial infarction and chronic pain may be angina.
4.Concomitant symptoms: Accompanying symptoms can help to determine**, such as dyspnea may be cor pulmonary, while digestive symptoms may be due to digestive disorders.
Conclusion. The differential diagnosis of chest pain requires a combination of factors such as the nature, location, duration, and accompanying symptoms of pain. Only by accurately diagnosing the best of chest pain can we give the patient the correct quality of life and improve the rate and quality of life. Therefore, when facing patients with chest pain, doctors should be vigilant and conduct a comprehensive analysis to ensure the accuracy of the diagnosis.