Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
Dr. Kulick received his undergraduate and medical degrees from the University of Southern California, School of Medicine. He performed his residency in internal medicine at the Harbor-University of California Los Angeles Medical Center and a fellowship in the section of cardiology at the Los Angeles County-University of Southern California Medical Center. He is board certified in Internal Medicine and Cardiology.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Chest pain is one of the most common complaints that will bring a patient to
the Emergency Department. Seeking immediate care may be lifesaving, and
considerable public education has been undertaken to get patients to access
medical care when chest pain strikes. While the patient may be worried about a
heart attack, there are many other causes of pain in the chest that the healthcare provider will need to consider. Some diagnoses are life threatening, while
others are less dangerous.
Deciding the cause of chest pain is sometimes very difficult and may require
blood tests, x-rays, CT scans and
other tests to sort out the diagnosis. Often though,
a careful history taken by the healthcare provider may be all that is needed to find
the answer.
What are the sources of chest pain?
The source of pain may arise from a variety of potential sources:
the chest wall including the ribs, the muscles, and the skin;
the back including the spine, the nerves, and the back muscles;
the lung, the pleura (the lining of the lung) or the trachea;
the heart including the pericardium (the sac that surrounds the heart);
the aorta;
the esophagus;
the diaphragm, the flat muscle that separates the chest and abdominal
cavities;
referred pain from abdominal organs like the stomach, gallbladder, and
pancreas.
While each source of chest pain may have a classic presentation of signs and
symptoms, there is significant overlap among the symptoms of each condition, and
the symptoms may also be affected by age, gender and race.
What are the causes of chest pain?
Pain can be caused by almost every structure in the chest. Different organs
can produce different types of pain but unfortunately the pain is not specific
to each cause. Each of the following causes is explained in detail in this
article: