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Last updated: October 10, 2025View editorial policy

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Differential Diagnosis for "Pet Dard" (Chest Pain)

  • Single most likely diagnosis:
    • Acute Coronary Syndrome (ACS): This is the most likely diagnosis for chest pain, as it is a common and potentially life-threatening condition that requires immediate medical attention. The presentation of chest pain, especially if it is severe, squeezing, or radiates to the arm, neck, or jaw, is highly suggestive of ACS.
  • Other Likely diagnoses:
    • Gastroesophageal Reflux Disease (GERD): GERD is a common condition that can cause chest pain, especially after eating or at night. The pain is often described as a burning sensation in the chest and may be accompanied by regurgitation or difficulty swallowing.
    • Musculoskeletal Pain: Musculoskeletal pain, such as costochondritis or muscle strain, can cause chest pain that is sharp, stabbing, or aching. The pain is often localized to a specific area and may be exacerbated by movement or deep breathing.
    • Pulmonary Embolism: A pulmonary embolism is a blockage of an artery in the lungs that can cause sudden, severe chest pain, especially if it is accompanied by shortness of breath, coughing, or leg swelling.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed):
    • Aortic Dissection: An aortic dissection is a tear in the aorta that can cause severe, tearing chest pain that radiates to the back. It is a medical emergency that requires immediate attention.
    • Pneumothorax: A pneumothorax is a collapse of the lung that can cause sudden, severe chest pain, especially if it is accompanied by shortness of breath or coughing.
    • Pericarditis: Pericarditis is inflammation of the sac surrounding the heart that can cause sharp, stabbing chest pain that may be accompanied by fever, fatigue, or shortness of breath.
  • Rare diagnoses:
    • Esophageal Spasm: An esophageal spasm is a rare condition that can cause severe, squeezing chest pain that may be accompanied by difficulty swallowing or regurgitation.
    • Hypertrophic Cardiomyopathy: Hypertrophic cardiomyopathy is a rare heart condition that can cause chest pain, especially during exercise or strenuous activity.
    • Sickle Cell Crisis: A sickle cell crisis is a rare condition that can cause severe, acute chest pain, especially in individuals with sickle cell disease.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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