MindMap Gallery Chest pain mind map
This is a mind map about chest pain, including the cause and pathogenesis, clinical manifestations, accompanying symptoms, etc. Hope this helps!
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chest pain
Causes and pathogenesis
Chest wall disease
Acute dermatitis, herpes zoster, intercostal neuritis, rib fracture
cardiovascular disease
Angina pectoris, myocardial infarction, hypertrophic cardiomyopathy, acute pericarditis, thoracic aortic dissection aneurysm
Respiratory diseases
Pleurisy, spontaneous pneumothorax, bronchial carcinoma, pulmonary embolism
mediastinal disease
Mediastinitis, mediastinal tumor
Others
Esophagitis, esophageal cancer, subseptal abscess
Clinical manifestation
Age of onset
For chest pain in young adults, tuberculous pleurisy and spontaneous pneumothorax are often considered
People over 40 years old should pay attention to angina pectoris, myocardial infarction and bronchial lung cancer
Chest pain area
Herpes zoster causes chest pain, with clusters of blisters visible along the intercostal nerves on one side, accompanied by severe pain, and the blisters do not exceed the midline of the body surface
The pain of angina pectoris and myocardial infarction is behind the sternum or under the precordium and can radiate to the left shoulder and the inside of the left arm. It can also radiate to the left neck or cheek, making it mistaken for toothache
Dissecting aneurysms cause pain, mostly located in the chest and back, radiating downward to the lower abdomen, waist, both sides of the groin and lower limbs
Pain caused by pleurisy, on the side of the chest
Pain caused by esophageal and mediastinal lesions, mostly behind the sternum
Chest pain nature
Shingles causes severe cutting or burning pain
Esophagitis often presents with burning pain
Intercostal neuralgia, paroxysmal burning or stabbing pain
Angina pectoris causes squeezing pain and a sense of suffocation due to heavy pressure
Myocardial infarction causes more severe pain and a sense of fear of imminent death
Pneumothorax causes tearing pain in the early stages of the disease
Dissecting aneurysm often presents with sudden tearing pain or spinal pain in the chest and back
Severe chest pain in pulmonary infarction is often accompanied by dyspnea and cyanosis
Pain duration
Angina pectoris has a short onset (a few minutes), while myocardial infarction lasts a long time (a few hours) and is not easily relieved
Factors affecting pain
Angina pectoris, induced by work or mental stress, can be relieved within a few minutes by resting or taking nitroglycerin. Pain caused by myocardial infarction is less effective when taking medicine
Esophageal disease attacks violently during eating, and can be alleviated or eliminated by taking antacids and prokinetic drugs
Accompanying symptoms
With cough, sputum production and fever
Common in diseases of the trachea, bronchi and lungs
With difficulty breathing
It indicates that the disease involves a larger scope, such as lobar pneumonia, spontaneous pneumothorax, exudative pleurisy and pulmonary embolism
With coughing up blood
Seen in pulmonary embolism, bronchial lung cancer
Paleness, profuse sweating, drop in blood pressure, or shock
More common in myocardial infarction, dissecting aneurysm and massive pulmonary embolism
With difficulty swallowing
Esophageal diseases, such as reflux esophagitis, etc