Non-central chest pain
A non-central chest pain does not rule out cardiac origin. It is not unknown for myocardial infarctions to present with for example shoulder pain without chest pain.
A non-central chest pain should also make the clinician consider other conditions in the differential diagnosis.
- pleuritic pain - this pain that is made worse on inspiration. Massive pulmonary embolism may cause central chest pain.
- shingles - pain that is classically localized to the dermatomes. It is unaffected by respiration.
- rib fractures - pain is felt at the site of fracture.
- ankylosing spondylitis
- tabes dorsalis
- gall bladder and pancreatic disease
- Tietz's syndrome
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