38
Treatment
Table 6. Differential Diagnosis of Noncardiac Chest Pain
Respiratory Pulmonary embolism Bronchitis
Pneumothorax/hemothorax Pleural irritation
Pneumomediastinum Malignancy
Pneumonia
Gastrointestinal Cholecystitis Peptic ulcer disease
Pancreatitis Esophageal spasm
Hiatal hernia Dyspepsia
Gastroesophageal reflux
disease/gastritis/esophagitis
Chest wall Costochondritis Breast disease
Chest wall trauma or
inflammation
Rib fracture
Herpes zoster (shingles) Musculoskeletal injury/spasm
Cervical radiculopathy
Psychological Panic disorder Somatization disorder
Anxiety Hypochondria
Clinical depression
Other Hyperventilation syndrome Prolapsed intervertebral disc
Carbon monoxide poisoning oracic outlet syndrome
Sarcoidosis Adverse effect of certain
medications (e.g.,
5-fluorouracil)
Lead poisoning Sickle cell crisis
