Pulmonary embolism differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Pulmonary embolism must be distinguished from other life-threatening causes of chest pain including [[acute myocardial infarction]], [[aortic dissection]], and [[pericardial tamponade]], as well as a large list of non-life-threatening causes of chest discomfort and shortness of breath. | Pulmonary embolism must be distinguished from other life-threatening causes of [[chest pain]] including [[acute myocardial infarction]], [[aortic dissection]], and [[pericardial tamponade]], as well as a large list of non-life-threatening causes of [[chest discomfort]] and shortness of breath. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 13:39, 11 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] The APEX Trial Investigators; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
Pulmonary embolism must be distinguished from other life-threatening causes of chest pain including acute myocardial infarction, aortic dissection, and pericardial tamponade, as well as a large list of non-life-threatening causes of chest discomfort and shortness of breath.
Differential Diagnosis
Life Threatening Differential Diagnosis
Common Differential Diagnosis in Outpatients
Among outpatients presenting with dyspnea, <4 % are diagnosed with PE.[1] Common differential diagnoses include:[1]
Complete List of Differential Diagnosis
- Acute coronary syndrome
- Acute heart failure[1]
- Asthma acute exacerbation
- Acute respiratory distress syndrome
- Anemia
- Angina pectoris
- Anxiety disorders
- Aortic stenosis
- Atrial fibrillation (diagnosis and management)
- Bronchitis
- Cardiogenic shock
- Cardiac tamponade
- Chronic obstructive pulmonary disease exacerbation[1]
- Community acquired pneumonia[1]
- Cor pulmonale
- Costochondritis
- Dilated cardiomyopathy
- Distributive shock
- Emphysema
- Fat embolism
- Hemorrhagic shock
- Herpes zoster
- Hyperventilation
- Mediastinitis
- Mitral stenosis
- Musculoskeletal pain
- Myocardial infarction
- Myocardial ischemia
- Myocarditis
- Noncardiogenic pulmonary edema
- Pericarditis
- Pleuritis
- Pneumonia
- Pneumothorax
- Pulmonary hypertension, primary
- Pulmonary hypertension, secondary
- Restrictive cardiomyopathy
- Rib fracture
- Salicylate intoxication
- Septic shock
- Silicone pulmonary embolism[2]
- Sudden cardiac death
- Superior vena cava syndrome
- Syncope
- Toxic shock syndrome
- Trauma to the chest
- Unstable angina
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Squizzato A, Luciani D, Rubboli A, Di Gennaro L, Gennaro LD, Landolfi R; et al. (2013). "Differential diagnosis of pulmonary embolism in outpatients with non-specific cardiopulmonary symptoms". Intern Emerg Med. 8 (8): 695–702. doi:10.1007/s11739-011-0725-1. PMID 22094406.
- ↑ Restrepo CS, Artunduaga M, Carrillo JA, Rivera AL, Ojeda P, Martinez-Jimenez S; et al. (2009). "Silicone pulmonary embolism: report of 10 cases and review of the literature". J Comput Assist Tomogr. 33 (2): 233–7. doi:10.1097/RCT.0b013e31817ecb4e. PMID 19346851.