How do I want to approach chest pain? So common. So complex. Yet we need to start somewhere. Here comes my simple approach (for now).
2) quality EXERTIONAL
prioritize cardiac ischemia
a) increased oxygen demand
b) decreased supply
prioritize cardiac ischemia
a) increased oxygen demand
b) decreased supply
3) quality PLEURITIC
any cause of pleural irritation (think: anatomic approach)
any cause of pleural irritation (think: anatomic approach)
4) consider multiple processes if multiple qualities
5) abdomen and chest are neighbors (both might hang out in both places). Abdominal pain = cardiac/abdominal cause. Chest pain = cardiac/abdominal cause.
6) for further chest pain ddx -> anatomic approach
this reflection was prompted by @CPSolvers and amazing team members @rabihmgeha @MadellenaC @seymss15 @amandabarretof2 @deboracloureiro @jackpenner
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