Chest pain physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2],Nuha Al-Howthi, MD[3]

Overview

Physical examination should focus on evaluating for the life-threatening causes of chest pain first. A complete physical exam should be done, which includes a thorough cardiac, lung, and abdominal exam.

Physical Examination[1]

Vitals

Neck

Heart

Lung

Abdomen

  • Inspection, palpation and auscultation to evaluate for gastrointestinal etiologies of chest pain
  • May show distension, RUQ tenderness.
  • Rectal examination - occult bleeding (peptic ulcers)

Neurologic

Musculoskeletal/Extremities

  • Palpation with pain reproducibility
  • Unilateral extremity enlargement, pain, and erythema (deep vein thrombosis)

Skin


References

  1. Shima, Mark A. (2016). "Evaluation of chest pain". Postgraduate Medicine. 91 (8): 155–164. doi:10.1080/00325481.1992.11701370. ISSN 0032-5481.