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Differential Diagnosis Angina Pectoris • Pulmonary diseases: pulmonary hypertension, pulmonary embolism, pleurisy, pneumothorax, pneumonia • Musculoskeletal conditions: costochondritis, chest wall trauma, cervical arthritis with radiculopathy, muscle strain, myositis • Herpes zoster • GI disorders: peptic ulcer disease, pancreatitis, esophageal spasm or spontaneous esophageal muscle contraction, esophageal reflux, cholecystitis, cholelithiasis • Acute aortic dissection 
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