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Approach to Chest Pain

Etiologies of chest pain in the outpatient setting

Type	Etiologies
Cardiac (15% of causes)	*Aortic dissection* Congestive heart failure Myocardial ischemia/stable angina *Pericarditis*
Pulmonary (15% of causes)	Asthma Chronic obstructive pulmonary disease (COPD) Malignancy Pleuritis Pneumonia *Pneumothorax* *Pulmonary embolism*
Gastrointestinal (20% of causes)	*Gastroesophageal reflux disease (GERD)* *Esophagitis* Eosinophilic esophagitis
Musculoskeletal (40% of causes)	*Costochondritis* Rheumatic diseases Rib pain Trauma
Psychiatric (10% of causes)	Panic attacks/disorder

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Approach to Chest Pain

Etiologies of chest pain in the outpatient setting

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