Chest pain

Key Information

Appropriate Tests

 

Diagnosis based on history, physical examination and Troponin T or Troponin I results.

Other pathology tests may be contributory.

Cardiac pain

  • Myocardial ischaemia
  • Myocardial infarction
  • Pericarditis

Consider: Urea, Electrolytes, Creatinine, Glucose, Liver function tests, Troponin I, Troponin T, Full blood count.

See Guideline on Pathology testing in the Emergency department: Appendix 2.

Pleural pain

  • Pneumonia
  • Pleurisy
  • Pleurodynia
  • Pulmonary embolism

Consider: D Dimer, Urea, Electrolytes, Creatinine, Glucose, Liver function tests, Troponin I, Troponin T, Full blood count. 

See Guideline on Pathology testing in the Emergency department: Appendix 2.

Oesophageal pain

See Oesophagitis.

Chest wall pain

  • Fibromuscular pain

 

  • Shingles

See Varicella zoster infection.

  • Bone pain

See Bone fracture (pathological).