Pneumothorax [top]

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

Atrial fibrillation [top]

  • Palpitations
  • Tachycardia
  • Sudden onset
  • Irregular rhythm
  • Chest pain
  • Shortness of breath

Aortic dissection [top]

  • Central chest pain
  • Sudden onset
  • Tearing character
  • Radiation to back between shoulder blades
  • Unequal peripheral pulses
  • Hypotension
  • Wide mediastinum on chest X ray

Pulmonary embolism [top]

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

Supraventricular tachycardia [top]

  • Palpitations
  • Sudden onset
  • Tachycardia
  • Shortness of breath
  • Central chest pain

Stokes-Adams attack [top]

  • Syncope, transient neurological deficit
  • Sudden onset
  • No prodrome
  • Rapid recovery
  • Arrhythmia on 24 hour tape

Anaphylaxis [top]

  • Sudden onset (minutes)
  • Shortness of breath
  • Wheeze
  • Facial swelling, tongue swelling
  • Urticaria
  • Hypotension and tachycardia
  • Vomiting