Level 3: Chest Pain – Chief Complaint: Expert Panel DDX

How does your differential compare with the experts?

What questions will comprise your initial history?

Experts’ DDX:

1. Cardiac
   1. Acute coronary syndrome
   2. Pericarditis
   3. Myocarditis
   4. Aortic dissection
   5. Endocarditis
2. Pulmonary
   1. Acute bronchitis
   2. Mediastinitis
   3. Pneumonia
   4. Pleurisy
   5. Pulmonary embolism
3. GI
   1. Esophageal spasm
   2. Esophagitis
4. Malignancy
5. Musculoskeletal
   1. Costochondritis
   2. Trauma – rib injury
6. Psychiatric
   1. Panic attacks/disorder
   2. Anxiety
   3. Somatization
   4. Substance use/drug-induced
   5. Factitious disorder
   6. Malingering