Question

how do you know John chest pain is heart related ?how do you rule out other eriologies of chest pain such as musculosketetal, 0neymonia and gastric sources

Answer 1

• John chest pain is heart related if He is suffering from severe chest pain not relieved by rest, position change or nitrate administration. The pain is heavy, pressure, tight, burning, constricted, crushing feeling. Common locations are substernal or epigastric area. It radiates to the neck, lower jaw, arm, back.

• Etiology of Musculoskeletal chest pain.

a. Rib fracture.

b. Inflammation of cartilage connects rib to the breastbone (costochondritis).

c. Painful rib syndrome.

d. Localised tenderness over the sternum.

e. Thoracic spine dysfunction.

•Etiology of chest due to pneumonia.

a. Lower respiratory tract infection.

b. Lung abscess.

• Etiology of gastric source of chest pain.

a. Gastro esophageal reflux disease.

b. Excessive HCL secretion.

c. Esophageal motility disorder.