​Symptoms and Signs – Differential Diagnosis of Non Pleuritic Chest Pain

​Symptoms and Signs – Differential Diagnosis of  Non Pleuritic Chest Pain 
• Cardiac: myocardial ischemia/infarction, myocarditis
• Chest pain associated with mitral valve prolapse
• Dissecting aortic aneurysm
• Esophageal: spasm, esophagitis, ulceration, neoplasm, achalasia, diverticula, foreign body
• Gallbladder and biliary: cholecystitis, cholelithiasis, impacted stone, neoplasm
• Gastric and duodenal: hiatal hernia, neoplasm, peptic ulcer disease (PUD)
• Mediastinal tumors: lymphoma, thymoma
• Pain originating from skin, breasts, and musculoskeletal structures: herpes zoster, mastitis, cervical spondylosis
• Pancreatic: pancreatitis, neoplasm
• Psychoneurosis
• Pulmonary: neoplasm, pneumonia, pulmonary embolism/infarction
• Referred pain from subdiaphragmatic GI structures