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e-discussion on Emerging trends in therapeutics of ACS

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Dear Members,Differential Diagnosis of Patients with

Chest Pain

I.

Nonischemic cardiovascular

o

Aortic dissection

o

Myocarditis

o

Pericarditis

o

Hypertrophic cardiomyopathy

o

Stress cardiomyopathy

II.

Chest wall/musculoskeletal

o

Cervical disk disease

o

Costochondritis

o

Herpes zoster

o

Neuropathic pain

o

Rib fracture

III.

Pulmonary

o

Pneumonia

o

Pulmonary embolus

o

Tension pneumothorax

o

Pleurisy

IV.

Gastrointestinal

o

Cholecystitis

o

Peptic ulcer disease

§ Nonperforating

§ Perforating

o

Gastroesophageal reflux disease

o

Esophageal spasm

o Boerhaave syndrome (esophageal

rupture with mediastinitis)

o

Pancreatitis

V.

Psychiatric

o

Depression

o

Anxiety disorder/panic attack

o

Somatization and psychogenic pain

disorder

o

Potentially life-threatening conditionsRegards,Tarun Wadhwa

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