In this post I list the Chest Pain – Can’t Miss Diagnostic Schema From The Clinical Problem Solvers‘ Episode 15: Clinical Unknown with Human Dx Project – Chest pain.
Here is the Schema from the episode:
Life Threatening Causes Of Chest Pain:
The 4 – 2 – 2 Mneumonic
Four Cardiac Causes
- Acute Coronary Syndrome
- Aortic Dissection
- Pericarditis With Tamponade
- Takotsubo Cardiomyopathy from emedicine.medscape.com
Two Pulmonary Causes
- Pulmonary Embolus
Two Esophageal Causes
- Esophageal Rupture
- Esophageal Impaction
It is really important to know the patient’s past medical history.
The patient had a history of Hodgkin’s Lymphoma and he received chemo and radiation to the chest.*
*See Effects of Ionizing Radiation on the Heart [PubMed Abstract] [Full Text HTML] [Full Text PDF]. Mutat Res. Author manuscript; available in PMC 2017 Oct 1. Published in final edited form as: Mutat Res. 2016 Oct-Dec; 770(Pt B): 319–327.
And be sure and listen to Episode 15: Clinical Unknown with Human Dx Project – Chest pain again.