Chest Pain – History Taking OSCE Guide

Chest Pain- History Taking OSCE Guide

Quick Revise

  • Cardiac: ACS/MI, Angina, Pericarditis, Aortic Dissection
  • Respiratory: PE, Pneumonia, Pneumothorax
  • GI: GORD, Oesophageal spasm, Peptic ulcer
  • MSK: Costochondritis, Rib fracture, Muscle strain
  • Psychological: Panic attack, Anxiety
  • “Can you tell me more about your chest pain?”
  • Document as: “Chest pain for [duration]”
  • Record patient’s own words (“tightness,” “burning,” etc.)
  • Site: Central (ACS), pleuritic (PE/pneumothorax), epigastric (GORD)
  • Onset: Sudden → PE, dissection, MI | Gradual → Angina, pneumonia
  • Character: Crushing (ACS), tearing (dissection), sharp (pleuritic), burning (GORD)
  • Radiation: Arm/jaw (ACS), back (dissection), shoulder tip (diaphragm irritation)
  • Associated Symptoms: SOB, diaphoresis, nausea, cough, haemoptysis
  • Timing: Angina (<10 min, exertional), ACS (>20 min, persistent)
  • Exacerbating/Relieving: Worse exertion (angina), leaning forward (pericarditis), after meals (GORD)
  • Severity: 1–10 scale (severe pain → ACS, dissection, PE)
  • Cardiac: Dyspnoea, palpitations, orthopnoea, PND, ankle swelling
  • Respiratory: Cough, sputum, haemoptysis, wheeze, sudden SOB
  • GI: Heartburn, regurgitation, dysphagia, epigastric pain
  • General: Fever, weight loss, night sweats, fatigue, anxiety
  • Ideas: “What do you think is causing your chest pain?”
  • Concerns: “Is there anything you’re worried about?” (e.g., heart attack, cancer)
  • Expectations: “What were you hoping we could do for you today?”
  • Cardiac: IHD, heart failure, arrhythmias, valve disease, HTN
  • Respiratory: Asthma, COPD, previous PE
  • GI: GORD, PUD, gallstones
  • Other: Diabetes, hyperlipidaemia, connective tissue disorders (Marfan’s → dissection risk)
  • Surgical History: CABG, stents, valve surgery, pacemaker, lobectomy/pneumonectomy, recent major surgery (PE risk)
  • Premature IHD (men <55, women <65)
  • Sudden cardiac death (inherited arrhythmias/HCM)
  • Familial hypercholesterolemia
  • Clotting disorders (DVT/PE)
  • Aortic disease / Marfan’s
  • Anti-anginals: GTN, beta-blockers, CCBs
  • Antiplatelets/anticoagulants: Aspirin, clopidogrel, warfarin, DOACs
  • Statins / ACE inhibitors → cardiac risk factors
  • NSAIDs → gastritis, ulcer pain
  • Steroids → GORD, osteoporosis
  • Chemo/radiotherapy → cardiotoxicity, pericarditis
  • Smoking (pack years) → IHD, PE, lung cancer
  • Alcohol → arrhythmias, cardiomyopathy, GORD
  • Occupation → stress (IHD), asbestos (pleural disease), manual work (MSK)
  • Function → exercise tolerance (“How far can you walk before pain?”)
  • Living situation → relevant for discharge planning
  • Recent long-haul flights or immobility → DVT/PE risk
  • TB-endemic travel → pleural TB (rare)
  • Recent viral illness (COVID/flu) → myocarditis, pericarditis

Background

Chest pain is one of the most common and most important presenting complaints in clinical practice. It can range from benign musculoskeletal pain to immediately life-threatening emergencies such as acute coronary syndrome (ACS), pulmonary embolism, aortic dissection, or tension pneumothorax.

For medical students, chest pain is a high-yield OSCE station because it tests your ability to:

  • Take a structured and focused history using SOCRATES.
  • Recognise red flags that require urgent intervention.
  • Differentiate between cardiac, respiratory, gastrointestinal, musculoskeletal, and psychological causes of symptoms.

Examiners are looking for students who can prioritise dangerous causes, gather relevant risk factors, and summarise findings logically. A clear and confident approach not only scores well in exams but also reflects safe clinical practice on the wards.

Common Causes of Chest Pain

SystemConditionKey Features
CardiacAcute coronary syndrome (MI/unstable angina)Central, crushing pain ± radiation to jaw/arm, sweating, nausea
Stable anginaExertional, relieved by rest/GTN, short duration
PericarditisSharp, pleuritic, worse lying flat, relieved sitting forward
Aortic dissectionSudden onset, tearing pain radiating to the back, unequal pulses
RespiratoryPulmonary embolism (PE)Sudden pleuritic pain, SOB, haemoptysis, risk factors (surgery, immobility)
PneumoniaPleuritic pain, fever, cough, sputum
PneumothoraxSudden unilateral pleuritic pain, SOB, hyperresonance, ↓ breath sounds
GIGastro-oesophageal reflux (GORD)Retrosternal burning, worse on lying/after meals, relieved by antacids
Oesophageal spasmRetrosternal squeezing, mimics angina, may be meal-related
Peptic ulcer diseaseEpigastric pain may radiate to the chest, related to meals
MSKCostochondritisLocalised, reproducible on palpation, sharp
Rib fracture / muscle strainPost-trauma, local tenderness, worse with movement
PsychologicalPanic attack/anxietyPanic attack/anxiety

Opening the Consultation

  • Wash your hands, introduce yourself, confirm patient details and gain consent.
  • If acutely unwell → prioritise ABCDE and urgent help.
  • Ask an open question: “Can you tell me more about your chest pain?”

Presenting Complaint

  • Start with an open-ended question:
    “Can you tell me more about the chest pain that brought you in today?”
  • Allow the patient to describe the symptom in their own words before you guide them with structured questions.
  • When documenting:
    • Write it as: “Chest pain for [duration]”
    • If intermittent: “Intermittent chest pain for [timeframe]”
    • If ongoing: “Ongoing chest pain for [x hours/days]”
  • Clarify the main symptom:
    • Some patients might use terms like “tightness,” “pressure,” “burning,” or “discomfort” rather than “pain.”
    • Ensure you accurately record the word they use, as it may guide your differential (e.g., “tightness” → cardiac, “burning” → GORD).

💡 OSCE Tip

Examiners often look for whether you capture the complaint in a clear, concise format (symptom + duration). Avoid writing vague entries like “chest problem.”

  • Ask: “Where exactly is the pain?”
  • Encourage the patient to point with one finger.
  • Helps distinguish diffuse vs localised pain.
SitePossible Causes
Central/retrosternalACS, MI, angina, pericarditis
Lateral/pleuriticPE, pneumonia, pneumothorax
EpigastricGORD, peptic ulcer, gastritis
  • Ask: “When did it start? Was it sudden or gradual?”
  • Sudden severe pain = always a red flag.
OnsetPossible Causes
Sudden, severePE, aortic dissection, pneumothorax, MI
GradualStable angina, pneumonia, GORD, MSK pain
  • Ask: “How would you describe the pain?”
  • Patient’s description often guides diagnosis.
CharacterPossible Causes
Crushing, heavy, pressureACS, MI
Tearing, rippingAortic dissection
Sharp, stabbing, pleuriticPE, pneumonia, pericarditis
Burning/retrosternalCrushing, heavy pressure

Ask: “Does the pain go anywhere else?”

RadiationPossible Causes
Left arm, jaw, neckACS/MI, angina
Back (interscapular)Aortic dissection
Shoulder tipDiaphragmatic irritation (subphrenic abscess, gallbladder disease)
  • Ask: “Any other symptoms with the pain?”
  • These add weight to a differential.
Associated SymptomLikely Condition
SOB, sweating, nauseaACS/MI
Palpitations, syncopeArrhythmia, ACS
Cough, fever, sputum, haemoptysisPneumonia, PE
Heartburn, regurgitationGORD

Ask: “Is the pain constant or intermittent?”

Timing PatternPossible Causes
Intermittent, exertional, <10 minsStable angina
Persistent, >20 minsACS/MI
Sudden and ongoingPE, pneumothorax, dissection
Meal-related or nocturnalGORD, ulcer disease

Ask: “What makes it better or worse?”

FactorPossible Causes
Worse on exertion, relieved by rest/GTNAngina
Worse lying flat, relieved sitting forwardPericarditis
Worse with inspiration/coughPE, pneumonia, pneumothorax
Worse after food, lying down; relieved by antacidsGORD

Ask: “On a scale of 1–10, how bad is the pain?”

SeverityPossible Causes
Severe (8–10/10), crushingACS/MI, dissection, massive PE
Moderate, positional, reproducibleMSK pain, reflux

ICE (Ideas, Concerns, Expectations)

  • Ideas: “What do you think might be causing your chest pain?”
  • Concerns: “Is there anything in particular you’re worried about?” (e.g., heart attack, cancer).
  • Expectations: “What were you hoping we could do for you today?”

System Enquiry

A targeted system enquiry ensures you don’t miss related symptoms that point towards specific differentials.

  • Dyspnoea on exertion → angina, ACS, heart failure
  • Orthopnoea → LV failure
  • Paroxysmal nocturnal dyspnoea (PND) → heart failure
  • Palpitations → arrhythmia, ACS
  • Syncope or presyncope → arrhythmia, severe aortic stenosis, ACS
  • Ankle swelling → heart failure, pericardial disease
  • Cough ± sputum → pneumonia, bronchitis
  • Haemoptysis → PE, lung cancer, pneumonia
  • Pleuritic chest pain → PE, pneumonia, pleuritis
  • Wheeze → asthma, COPD exacerbation
  • Sudden shortness of breath → PE, pneumothorax
  • Heartburn / retrosternal burning → GORD, oesophagitis
  • Acid reflux / regurgitation → GORD
  • Dysphagia → oesophageal spasm, stricture, malignancy
  • Epigastric pain after meals → PUD, gastritis, gallstones
  • Fever → pneumonia, pericarditis, myocarditis, sepsis
  • Night sweats → TB, lymphoma, chronic infection
  • Weight loss → malignancy, chronic GI disease
  • Fatigue → anaemia, chronic disease
  • Anxiety/panic symptoms (palpitations, hyperventilation, sense of doom) → panic disorder

💡 OSCE Tip

Examiners expect you to link chest pain + associated system enquiry to specific differentials (e.g., chest pain + orthopnoea → think LV failure”).

Past Medical History

Asking about past medical history is crucial because many chronic conditions predispose to SOB:

  • Ischaemic heart disease → risk of ACS/angina
  • Heart failure → chest pain + dyspnoea/orthopnoea
  • Arrhythmias → palpitations, syncope, chest discomfort
  • Valvular disease (esp. aortic stenosis, mitral valve disease) → angina, syncope, heart failure
  • Hypertension → major risk factor for ACS, dissection
  • Asthma / COPD → can present with chest tightness or breathlessness
  • Previous PE or DVT → risk of recurrence
  • Interstitial lung disease / TB → chronic chest pain or cough
  • Gastro-oesophageal reflux disease (GORD) → burning retrosternal pain
  • Peptic ulcer disease → epigastric pain radiating to the chest
  • Gallstones → biliary colic, referred chest/epigastric pain
  • Diabetes mellitus → silent ischaemia, ACS risk
  • Hyperlipidaemia → coronary artery disease risk
  • Connective tissue disorders (e.g. Marfan’s, Ehlers–Danlos) → predispose to aortic dissection
  • Anaemia → can worsen angina or mimic chest discomfort
  • Chronic kidney disease → uraemic pericarditis, fluid overload

Surgical History

Past surgery can be related to chest pain as:

  • CABG (coronary artery bypass graft) – recurrent angina, graft disease
  • PCI / stents – risk of restenosis, recurrent chest pain
  • Valve surgery/replacement – endocarditis, prosthetic valve thrombosis
  • Pacemaker / ICD insertion – procedural complications, local discomfort
  • Lobectomy/pneumonectomy – reduced lung capacity, chronic chest pain
  • Thoracic trauma surgery – adhesions, scarring, MSK pain
  • Fundoplication / bariatric surgery – GORD-related pain, post-op issues
  • Cholecystectomy – biliary-type pain history pre-surgery
  • Major surgery / prolonged immobilisation – risk of DVT/PE
  • Splenectomy – infection risk → sepsis presentations with chest pain

💡 OSCE Tip

If the patient has had a recent surgery, always consider PE as a differential diagnosis.

Drug History

Drug ClassExamplesRelevance to Chest Pain
Anti-anginalsGTN spray, beta-blockers, calcium channel blockers, ranolazineSuggests known IHD; ask if GTN relieves pain (angina clue)
Antiplatelets / AnticoagulantsAspirin, clopidogrel, warfarin, DOACsPrevious ACS, stents, stroke; ↑ bleeding risk if thrombolysis considered
StatinsAtorvastatin, simvastatinSecondary prevention of IHD
ACE inhibitors / ARBsRamipril, losartanCardiovascular risk factor management
DiureticsFurosemide, spironolactoneHeart failure history; electrolyte disturbances may cause arrhythmia
NSAIDsIbuprofen, naproxenCan cause gastritis, peptic ulcer → chest/epigastric pain
SteroidsPrednisoloneLong-term use → osteoporosis, immunosuppression, GORD
Chemotherapy / RadiotherapyDoxorubicin, chest radiotherapyPrevious ACS, stents, stroke; ↑ bleeding risk if thrombolysis is considered

💡 OSCE Tip

Examiners love it when you link the drug back to the condition (e.g., patient on GTN spray → likely angina/IHD).

Allergies

  • Always ask: “Do you have any allergies to medications or substances?”
  • Penicillin allergy → relevant if pneumonia suspected (limits antibiotic choice).
  • Contrast media allergy → important if CT-PA or coronary angiography is needed.
  • NSAID allergy → may limit analgesia; also relevant in patients with asthma (NSAID-induced bronchospasm).
  • Always document the nature of the reaction (rash, angioedema, anaphylaxis).

💡 OSCE Tip

Examiners expect you to not just record “allergic” but also ask what happened (e.g., rash vs anaphylaxis).

Family History

  • When taking a family history, focus on conditions that increase cardiac or thromboembolic risk:
  • Premature ischaemic heart disease (IHD) → MI or angina in first-degree relative (<55 men, <65 women).
  • Sudden cardiac death → may suggest inherited arrhythmias (e.g., long QT, HCM).
  • Clotting disorders → family history of DVT/PE (e.g., Factor V Leiden, Protein C/S deficiency).
  • Familial hypercholesterolaemia → strong risk factor for premature CAD.
  • Aortic disease → Marfan’s or other connective tissue disorders (risk of dissection).

💡 OSCE Tip

Always specify first-degree relatives (parents, siblings, children). Examiners often give marks for asking about premature IHD in particular.

Social History

  • Ask: “Do you smoke? If so, how many per day and for how long?”
  • Document in pack-years.
  • Smoking is a major risk factor for IHD, PE, lung cancer, and COPD.
  • Ask about vaping or nicotine replacement therapy if they’ve quit.
  • Ask: “How much alcohol do you drink in a typical week?” (units/week).
  • Heavy use → alcoholic cardiomyopathy, arrhythmias (AF), GORD.
  • Note any binge patterns (linked to acute arrhythmias).
  • Stressful jobs → ↑ risk of ACS.
  • Manual labour → MSK chest pain.
  • Asbestos exposure → pleural disease, mesothelioma.
  • Coal mining, construction, farming → lung disease risk.
  • “How far can you walk before chest pain or breathlessness?”
  • Helps assess the severity of angina/heart failure.
  • Functional status is important for discharge planning.
  • Who do they live with? Carer involvement?
  • Relevant for planning if admitted with ACS/heart failure.

💡 OSCE Tip

Examiners expect you to always cover smoking & alcohol — these are easy marks. Mentioning occupation & function often gets you bonus credit for being thorough.

Travel History

  • Always ask about recent travel or immobility — particularly if chest pain is sudden and pleuritic.
  • Recent long-haul flights or prolonged immobility → risk of DVT/PE.
  • TB endemic areas → consider tuberculosis, which can rarely cause chest pain (pleural involvement).
  • Recent infectious exposures → COVID, influenza → viral myocarditis, pericarditis, pneumonia.
  • Occupational/migrant history → exposure to asbestos, silica, coal dust (if not already covered in occupation).

💡 OSCE Tip

Examiners often use travel history as a hidden clue for PE. Don’t forget to ask!

Closing the Consultation

  • When finishing your history, always summarise, check understanding, and outline the next steps.
  • Summarise the key points back to the patient
    • “So, you’ve told me you’ve been experiencing chest pain that started suddenly yesterday, it’s central and crushing, and it came on while you were resting…”
  • Check the patient’s understanding and invite questions
    • “Does that sound correct to you? Is there anything important I’ve missed?”
    • “Do you have any questions or worries about what we’ve discussed so far?”
  • Explain what happens next
    • Examination (cardiac and respiratory exam).
    • Bedside investigations (ECG, observations, troponin, bloods, CXR).
    • Further management depending on findings (e.g., urgent cardiology referral if ACS suspected).
  • Close politely

References

  • Oxford Handbook of Clinical Medicine, 10th Edition – Chest Pain & Cardiovascular Sections
  • NICE Clinical Knowledge Summaries (CKS):
  • BMJ Best Practice: Chest Pain Evaluation & Management
  • RCGP eGuidelines: Cardiovascular presentations in primary care

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.