Costochondritis [top]

  • Central chest pain or Pleuritic chest pain
  • Pain with pressure over costal cartilage

Systemic lupus erythematosus [top]

  • Polyarthritis
  • Renal impairment, pleuritic chest pain
  • Rash, photosensitivity, alopecia
  • dsDNA+, ANA+

Musculoskeletal chest pain [top]

  • Central chest pain
  • Pleuritic chest pain
  • Precipitated by chest wall pressure or movement

Pneumothorax [top]

  • Pleuritic chest pain
  • Sudden onset
  • Shortness of breath
  • Unequal chest expansion
  • Diminished breath sounds
  • Hyperresonant percussion

Pneumonia [top]

  • Pleuritic chest pain
  • Shortness of breath
  • Fever
  • Productive cough
  • Haemoptysis
  • Consolidation on CXR

Pulmonary embolism [top]

  • Central chest pain
  • Pleuritic chest pain
  • Shortness of breath
  • Haemoptysis
  • Sudden onset
  • Tachycardia
  • Associated deep vein thrombosis

Bronchial carcinoma [top]

  • Haemoptysis
  • Weight loss
  • Smoker
  • Clubbing
  • Pleuritic chest pain
  • Shortness of breath
  • Opacity on CXR