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DD OF heartburn
(ChatGPT) - Coggle Diagram
DD OF heartburn
(ChatGPT)
- Gastrointestinal (GI) System
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Esophagitis
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Associated Symptoms: Dysphagia (difficulty swallowing), odynophagia (painful swallowing).
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Gastritis
Description: Inflammation of the stomach lining, often due to infection, NSAIDs, or alcohol.
Associated Symptoms: Epigastric pain, nausea, bloating, fullness.
Diagnosis: Clinical history, endoscopy, H. pylori testing.
Hiatal Hernia
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Associated Symptoms: Heartburn, regurgitation, chest pain, especially when lying down.
Diagnosis: Barium swallow, endoscopy.
Esophageal Spasm
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Associated Symptoms: Intermittent chest pain, dysphagia.
Diagnosis: Esophageal manometry, barium swallow.
Angina Pectoris
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Associated Symptoms: Chest discomfort with exertion, radiating pain to jaw/arm, shortness of breath.
Diagnosis: ECG, stress test, cardiac enzymes, coronary angiography.
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Pericarditis
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Associated Symptoms: Sharp chest pain, which worsens with breathing, lying down, or swallowing.
Diagnosis: ECG, echocardiogram, chest X-ray.
Aortic Dissection
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Associated Symptoms: Sudden, severe chest or back pain, hypotension, syncope.
Diagnosis: CT angiography, MRI, transesophageal echocardiography.
Pulmonary Embolism (PE)
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Associated Symptoms: Sudden chest pain, shortness of breath, tachycardia, hemoptysis (coughing blood).
Diagnosis: D-dimer, CT pulmonary angiography, V/Q scan.
Pleuritis (Pleurisy)
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Associated Symptoms: Sharp, stabbing chest pain that worsens with breathing or coughing.
Diagnosis: Chest X-ray, CT scan, pleural fluid analysis.
Pneumonia
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Associated Symptoms: Chest pain, fever, cough, shortness of breath.
Diagnosis: Chest X-ray, sputum culture, blood tests.
Asthma
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Associated Symptoms: Coughing, wheezing, chest tightness, difficulty breathing.
Diagnosis: Spirometry, peak flow measurement.
Costochondritis
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Associated Symptoms: Localized chest pain, tenderness on palpation.
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Rib Fractures or Trauma
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Associated Symptoms: Localized pain, tenderness, worsens with movement or breathing.
Diagnosis: Chest X-ray, rib series.
Fibromyalgia
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Associated Symptoms: Widespread musculoskeletal pain, fatigue, sleep disturbances.
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Herpes Zoster (Shingles)
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Diagnosis: Clinical examination, PCR or viral culture (if rash present).
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- Psychological/Psychiatric
Panic Disorder/Anxiety
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Associated Symptoms: Rapid heart rate, sweating, feeling of impending doom.
Diagnosis: Clinical assessment, often a diagnosis of exclusion.
Somatic Symptom Disorder
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Diagnosis: Clinical evaluation, ruling out other conditions.
Hyperthyroidism
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Associated Symptoms: Tachycardia, palpitations, weight loss, anxiety.
Diagnosis: Thyroid function tests (TSH, T3, T4).
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