Summary
Differentials
Common
- Acute coronary syndrome
- Stable angina
- Pneumonia
- Viral pleuritis
- GERD
- Costochondritis
- Anxiety or panic disorder
Uncommon
- Pulmonary embolism
- Pericarditis
- Cardiac tamponade
- Aortic dissection
- Aortic stenosis
- Mitral valve prolapse
- Pneumothorax
- Pulmonary hypertension
- Peptic ulcer disease
- Esophageal spasm
- Acute cholecystitis
- Acute pancreatitis
- Herpes zoster
- Gastritis
- E-cigarette or Vaping product use Associated Lung injury (EVALI)
- Vasospastic angina
Contributors
Authors
James E. Brown, MD, MMM
Professor and Chair
Emergency Medicine
Wright State University Boonshoft School of Medicine
Fairborn
OH
Disclosures
JEB declares that he has given expert testimony in matters related to this topic.
Acknowledgements
Dr James E. Brown would like to gratefully acknowledge Dr Marvin H. Eng and Dr Mori J. Krantz, previous contributors to this topic.
Disclosures
MHE declares that he has no competing interests. MJK is a consultant for GlaxoSmithKline.
Peer reviewers
Michael Jelinek, MD, FRACP, FACC
Cardiologist
St Vincent’s Hospital Melbourne
Associate Professor
Department of Medicine
University of Melbourne
Melbourne
Australia
Disclosures
MJ declares that he has no competing interests.
Debabrata Mukherjee, MD
Gill Foundation Professor of Interventional Cardiology
Director of Cardiac Catheterization Laboratories
Gill Heart Institute
Division of Cardiovascular Medicine
University of Kentucky
Lexington
KY
Disclosures
DM declares that he has no competing interests.
Martin Bocks, MD
Clinical Lecturer
University of Michigan Congenital Heart Center
Ann Arbor
MI
Disclosures
MB declares that he has no competing interests.
Ethan Cumbler, MD
Assistant Professor
Department of Internal Medicine
University of Colorado Health Sciences Center
Denver
CO
Disclosures
EC declares that he has no competing interests.
Davendra P.S. Sohal, MBBS, MPH
Research Fellow
Internal Medicine
Albert Einstein College of Medicine/Jacobi Medical Center
Bronx
NY
Disclosures
DS declares that he has no competing interests.
Videos
Needle decompression of tension pneumothorax: animated demonstration
Venepuncture and phlebotomy: animated demonstration
More videos
Log in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer