Pulmonary Embolism: Or something else? Differential Diagnosis

Respiratory System (J00-J99)

  • Bronchial asthma
  • Bronchitisinflammation of the bronchi.
  • Pleurisy (inflammation of the pleura)
  • Pneumonia (pneumonia)
  • Pneumothorax – usually an acute clinical picture in which air enters the pleural space and thus obstructs the expansion of one or both lungs. This leads to the fact that the respiration is not or only limited available (danger of life).

Cardiovascular system (I00-I99)

  • Angina pectoris (synonym: stenocardia, German: Brustenge) – seizure-like tightness in the chest (sudden pain in the area of the heart caused by a circulatory disorder of the heart). Most often, this circulatory disorder is due to stenosis (narrowing) of the coronary vessels (coronary arteries).
  • Aortic aneurysm – circumscribed main artery dilatation due to congenital or acquired weakening of the arterial wall.
  • Aortic dissection (synonym: aneurysm dissecans aortae) – acute splitting (dissection) of the wall layers of the aorta (main artery), with a tear of the inner layer of the vessel wall (intima) and hemorrhage between the intima and the muscle layer of the vessel wall (outer media), in the sense of an aneurysm dissecans (pathological expansion of the artery).
  • Aortic stenosis – obstruction (narrowing) of the outflow tract of the left ventricle.
  • Hypertrophic cardiomyopathy – cardiac muscle weakness with enlargement of the heart and a tendency to severe arrhythmias, especially under stress.
  • Unstable angina pectoris (UA; English unstable angina) – one speaks of an unstable angina pectoris, if the complaints have increased in intensity or duration compared to the previous angina pectoris attacks.
  • Myocardial infarction (heart attack)
  • Pericardial effusion – accumulation of fluid in the pericardium.
  • Pericarditis (inflammation of the pericardium)
  • Prinzmetal angina – special form of angina pectoris (chest pain) with temporary ischemia (circulatory disorder) of the myocardium (heart muscle) triggered by a spasm (spasm) of one or more coronaries (coronary arteries) (symptoms: pain duration: seconds to minutes; load-independent, especially in the early morning hours); as the worst consequence of ischemia, a myocardial infarction (heart attack) can be caused
  • Pulmonary hypertension (pulmonary hypertension).
  • X syndrome – simultaneous presence of exercise-induced angina, a normal exercise ECG, and angiographically normal coronary arteries (arteries that surround the heart in a wreath shape and supply blood to the heart muscle)

Infectious and parasitic diseases (A00-B99).

  • Herpes zoster (shingles)

Liver, gallbladder, and bile ducts-pancreas (pancreas) (K70-K77; K80-K87).

  • Cholelithiasis (gallstones).
  • Cholecystitis (inflammation of the gallbladder)
  • Pancreatitis (inflammation of the pancreas)

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

  • Gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; reflux esophagitis; reflux disease; Reflux esophagitis; peptic esophagitis) – inflammatory disease of the esophagus (esophagitis) caused by the pathological reflux (reflux) of acid gastric juice and other gastric contents.
  • Gastric ulcer (stomach ulcer)
  • Esophageal motility disorders – disorder of the movement of the esophagus.

Musculoskeletal system and connective tissue (M00-M99).

  • Costochondritis – inflammation of the joints where the ribs and sternum articulate (inflammation of the cartilage of the ribs).
  • Kawasaki syndrome – acute, febrile, systemic disease characterized by necrotizing vasculitis (vascular inflammation) of small and medium-sized arteries.
  • Muscular overexertion
  • Myositis – inflammation of the muscles.
  • Tietze syndrome (synonyms: chondroosteopathia costalis, Tietze disease) – rare idiopathic chondropathy of the costal cartilages at the base of the sternum (painful sternal attachments of the 2nd and 3rd ribs), associated with pain and swelling in the anterior thoracic (chest) region.
  • Thoracic wall syndrome – pain in the chest caused by muscular and skeletal changes.
  • Cervical disc lesions – disc damage in the cervical spine.

Neoplasms – tumor diseases (C00-D48).

  • Bronchial carcinoma (lung cancer)

Psyche – nervous system (F00-F99; G00-G99)

Injuries, poisonings and other consequences of external causes (S00-T98).

Medication

  • See “Causes” under medications