Differential Diagnosises

Initial Workup: CBC, BMP, Troponin, EKG, CXR

Additional Workup: 

• Mg, Phosphorous, NT-proBNP, D-Dimer, Lipase, Coagulation Studies

• POCUS, CTPE

Differential Diagnosis: 

Cardiovascular

• Acute Coronary Syndrome, Aortic Dissection, Aortic Rupture

• Acute Heart Failure, Stable Angina

• Myocarditis, Pericarditis, Valvular Diseases

Pulmonary

• (Tension) Pneumothorax, Pulmonary Embolism, Hemothorax

• Pulmonary Edema

• Pleuritis, Bronchitis, COPD Exacerbation

Gastrointestinal

• Esophageal Rupture, Ulcer Perforation, Diaphragmatic Hernia

• GERD, Gastritis, Esophagitis, Peptic Ulcer Disease, Pancreatitis

Infectious:

• Empyema, Pneumonia

Hematologic:

• Sickle Cell Crisis, Carbon Monoxide Poisoning

Musculoskeletal:

• Rib Fractures

• Costochondritis, Sprains/Strains, Thoracic Outlet Syndrome 

• Herpes Zoster, Radiculopathy, 

Psychiatric:

• Anxiety