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    Common conditions that may mimic cardiac chest pain - Dr Srikant Sharma

    Written by Hina Zahid Published On 2018-09-12T19:04:33+05:30  |  Updated On 12 Sept 2018 7:04 PM IST
    Common conditions that may mimic cardiac chest pain - Dr Srikant Sharma

    Dr Srikant Sharma and Dr.Satyanarayan Mohapatra have compiled some medical conditions that may present as chest pain simulating cardiac pain in their article.


    There may be several common medical conditions presenting with chest pain that may mimic cardiac chest pain. Non-Cardiac Chest Pain is the medical terminology used for chest pain which is not related to any specific heart condition but is quite similar to pains experienced due to pain from a cardiac condition. The per cent wise break up of incidence of different types of Chest Pain is depicted below.


    Asess your clinical acumen in just 5 minutes


    Q. No 1: Pt came with C/O sudden onset , severe intensity /sharp /stabbing /tearing chest pain, retrosternal / interscapular / radiating to back.



    Find the diagnosis at the end -


    Q. No 2: Pt with C/O chest pain, dyspnoea and hemoptysis.



    Find the diagnosis at the end -


    Q. No 3: Pt came with C/O heart burn-after eating -worst at night, dysphagia, hoarseness, coughing and wheezing.



    Find the diagnosis at the end -


    Q. No -4 Pt came with C/O sharp, stabbing chest pain, localized with one finger, worsened with coughing, sneezing and deep breathing.



    Find the diagnosis at the end -


    Q.No- 5: Pt presented with C/O Chest pain with hemoptysis, fever with the chill, shortness of breath, cough with sputum.



    Find the diagnosis at the end -


    Q No- 6: Pt with c/o Sudden onset unilateral chest pain and breathlessness




    • On palpation: Mediastinal displacement

    • On percussions: Resonant

    • On auscultation: Decreased or absent breath sounds



    Find the diagnosis at the end -


    Q No - 7: pt came with h/o pain vary with posture, position and local tenderness over the 2nd rib.



    Find the diagnosis at the end -


    Q. No-8: An alcoholic pt came with c/o sudden onset, severe retrosternal chest pain, difficulty or painful swallowing & hematemesis.




    • On auscultation: Mediastinal crunch (Hamman sign)


    Mackler’s Triad


    Lower chest pain, Vomiting and Subcutaneous emphysema.



    Find the diagnosis at the end -


    Q. No. 9 Pt came with c/o severe chest pain with difficulty in swallowing to liquid and solid.



    Find the diagnosis at the end -


    Q.No 10: Pt came with h/o chest pain dysphagia , odynophagia and regurgitation of undigested food.



    Q. No 11: Pt came with c/o difficulty in swallowing for liquid and solid, regurgitations with angina-like chest pain.



    Find the diagnosis at the end -


    Q. No-12: Pt came with c/o chest pain, abdominal pain, burping, belching and difficulty in swallowing.



    Find the diagnosis at the end -


    Q. No-13: Pt came with c/o chest pain, trouble in swallowing, vomiting and hoarseness of voice.




    • Destruction or dissapear mucosa

    • Narrow of the lumen,

    • Irregular crater

    • Weakened /dissapear of peristalsis


    Find the diagnosis at the end -


    Q.No 14: Pt came with sudden onset of severe substernal chest pain, worsened by breathing and coughing and unrelieved by opiates, associated with fever, chill and prostrations O/E pt is restless and irritable.



    Find the diagnosis at the end -


    Q. No 15: Pt came with c/o Chest pain, h/o unpleasant incidence, hyperventilation and tingling sensation




    • Physical examination -normal

    • X-ray chest within normal limit.

    • ABG : Respiratory Alkalosis.




    Find the diagnosis at the end -

    Answers to the Questions -

    Q1: Diagnosis -Aortic Dissection


    Q2: Diagnosis-Pulmonary Embolism


    Q3: Diagnosis-GERD


    Q4: Diagnosis- Pleuritic chest pain


    Q5: Diagnosis-Pneumonia


    Q6: Diagnosis-Acute Pneumothorax


    Q7: Diagnosis-Costochondritis (teitz syndrome)


    Q8: Diagnosis-Boerhaave syndrome (esophageal rupture)


    Q9: Diagnosis-Nut cracker esophagus


    Q10: Diagnosis-Achalasia Cardia


    Q11: Diagnosis-Diffuse Esophageal Spasm


    Q12: Diagnosis-Hiatus Hernia


    Q13: Diagnosis- Esophageal malignancy


    Q14: Diagnosis-Acute mediastinitis


    Q15: Diagnosis-Anxiety disorder with chest pain


    Authors of article are Dr. Srikant Sharma a Senior consultant in internal medicine New Delhi and Dr.Satyanarayan from, Moolchand Medcity.

    breathlessnessburpingcardiacchest painCostochondritiscoughingdeep breathingDr. Srikant SharmadyspnoeaGERDhematemesishemoptysisHiatus Herniahoarsenessmedical terminologyPulmonary EmbolismResonantsputumSrikant Sharmaswallowingvomitingwheezing

    Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

    Hina Zahid
    Hina Zahid
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