ALLERGIC ANGINA: A NEW ADDITION TO THE DIFFERENTIAL DIAGNOSIS AND PATHOPHYSIOLOGY OF CHEST PAIN

The study reports on 100 children and adolescents evaluated in a pediatric cardiology department. The results state that 13% of the population met the criteria for Major Depressive Disorder based on DSM III. There were four patients who were referred because of chest pain. All of them were found to be free from cardiovascular disorders, but all were found to be in the depressed group. The authors emphasize the importance of chest pain in differential diagnosis of childhood depression.

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Differential diagnosis of common presentations

Oxford Handbook of Acute Medicine ◽

10.1093/med/9780198797425.003.0016 ◽

2019 ◽

pp. 863-890

Author(s):

Punit S. Ramrakha ◽

Kevin P. Moore ◽

Amir H. Sam

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Back Pain ◽

Chest Pain ◽

Muscle Weakness ◽

Joint Pain ◽

Nausea And Vomiting ◽

Cutaneous Manifestations ◽

Internal Malignancy

This chapter explores the differential diagnosis of common presentations, including abdominal pain and distension, back pain, blackouts and collapse, breathlessness and dyspnoea, chest pain, confusion, constipation, cough, cutaneous manifestations of internal malignancy, diarrhoea, dysphagia, falls, fever, fits and seizures, haematemesis and melaena, haematuria, haemoptysis, headache, hemiparesis, hoarseness, itching and pruritus, joint pain and swelling, leg swelling, muscle weakness, nausea and vomiting, palpitations, tremor, unconsciousness and reduced consciousness, weak legs, and wheeze.

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Pain Emergencies and Complications of Pain Treatments

Pain Care Essentials ◽

10.1093/med/9780199768912.003.0014 ◽

2019 ◽

pp. 221-240

Author(s):

Isaac Tong ◽

R. Jason Yong ◽

Beth B. Hogans

Keyword(s):

Decision Making ◽

Differential Diagnosis ◽

Chest Pain ◽

Clinical Assessment ◽

Associated Factors ◽

Clinical Decision Making ◽

Acute Chest Pain ◽

Clinical Decision ◽

Common Occurrence ◽

Pain Characteristics

Chapter 13 reviews some common pain-associated emergencies and also discusses some complications of pain treatments that require immediate attention. Pain is a common occurrence in emergent illness, and some complications of pain treatments require emergent management. Chest pain is an excellent example of clinical decision-making following a process of organized, rapid pain assessment and then diagnostic and treatment reasoning based on the findings and observations of the clinical assessment. Providers assessing patients for acute chest pain elicit basic pain characteristics of region, quality, severity, and timing as well as usually associated factors and then pursue testing and treatment for elements in the differential diagnosis accordingly. The chapter illustrates this same process applied to conditions of acute abdominal, limb, headache, and spine emergencies. In the second part of the chapter, emergencies arising in the context of pain treatments are discussed, including overdose and withdrawal from opioids, benzodiazepines, and other pain-active medications as well as pump and device complications.

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Gallbladder torsion presenting as chest pain

Annals of The Royal College of Surgeons of England ◽

10.1308/147870810x12659688851357 ◽

2010 ◽

Vol 92 (3) ◽

pp. e25-e26 ◽

Cited By ~ 1

Author(s):

Henry John Murray Ferguson ◽

Satish Bhalerao

Keyword(s):

Differential Diagnosis ◽

Chest Pain ◽

Early Recognition ◽

Sudden Onset ◽

Patient Demographic ◽

Gallbladder Torsion ◽

Torsion Of The Gallbladder ◽

Definitive Management

While acute torsion of the gallbladder is an uncommon pathology, as this case demonstrates, it can present with sudden onset of chest pain, and must be borne in mind as a differential diagnosis in this patient demographic if early recognition and definitive management are to be made possible.

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