Features suggestive of visceral cause |
- Middle-aged or older adult patient
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- Risk factors for coronary disease
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Features suggestive of musculoskeletal cause[1] |
- Not squeezing or oppressive
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- Localized on the left or median-left part of the chest wall
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- Influenced by movement or posture
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- Reproducible by palpation
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Features suggestive of associated condition |
- Neck, thoracic, or shoulder pain (eg, pain referred to chest)
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- Chronic low back pain, young patient (eg, ankylosing spondylitis)
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- Ocular inflammation (eg, ankylosing spondylitis)
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- Diffuse musculoskeletal pain/sleep disturbance (eg, fibromyalgia)
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- Peripheral joint pain and swelling (eg, rheumatoid arthritis)
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- Skin lesions (eg, psoriasis)
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