Metro Med

Chest pain: Presenting Complaint


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Chest pain is one of the most common and challenging symptoms in medicine. In this episode, I take you through a structured approach to assessing chest pain, making it easier to work through differentials logically.

We cover:
Types of chest pain – How to categorize pain based on characteristics
Differential diagnosis – A systematic breakdown of causes:

  • Cardiac – Myocardial infarction, angina, pericarditis, aortic dissection
  • Respiratory – Pulmonary embolism, pneumothorax, pneumonia, pleuritis
  • Gastrointestinal – GERD, esophageal spasm, peptic ulcer disease
  • Musculoskeletal – Costochondritis, rib fractures, muscle strain
  • Infectious – Herpes zoster, Bornholm disease
    Case-based discussion – Applying theory to real-world clinical reasoning
    End-of-episode quiz – Reinforce your learning with key questions

This is the first episode in a new series of presentation walkthroughs! I’d love to hear your feedback.

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Metro MedBy Hayder Anchor