A sharp, stabbing pain, stiching, picking, in the chest that typically worsens with breathing, coughing, sneezing, or any movement of the chest.

• PE* !PE - Pulmonary embolism
  • +: SOB, Tachycardia, Well’s Score
  • CTPA
• PTX - pneumothorax PTX - Pneumothorax*
  • +: SOB, hypoxia, slender body, hyperresonance on Percussion, decreases breath sound
  • Chest X-ray
• Aortic dissection* (+ sth) !AD - Aortic Dissection
  • +: ripping/tearing + HTN, asymmetrical BP, “CP +”, tearing pain radiating to the back
  • CT
  • No Heparin Heparin (-parin)
• Pericarditis (check the 2/4 diagnostic criteria)
  • • Upper Resp Tract infection, worsened by inspiration and lying down
  • ECG
    • ST elevation (not localized, up-slopping )
    • PR depression
  • No Heparin Heparin (-parin)
• Infection → tracheitis, pleuritis (+SOB)