Differential diagnosis
The differential diagnosis includes:
Cardiac:
- angina pectoris
- pericarditis
- myocarditis
- mitral valve prolapse
- aortic dissection
- pulmonary:
- massive pulmonary embolism
- pleurisy
- gastrointestinal:
- oesophageal - reflux, spasm, carcinoma
- peptic ulcer
- pancreatitis
- cholecystitis
- chest wall:
- rib fracture
- metastatic deposits in the ribs
- costochondritis - Tietze's syndrome
- shingles
- pain referred from thoracic or cervical spine, especially C8
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