What is the Clinical diagnosis of angina? Ring opd or bedside examination of patient with Pain on the sternum or left Parasternal or left mammary region with pain on.The left arm or forearm. Is it possible to make a diagnosis that patient has No heart disease or  coronary  artery disease? In the cardiology  clinic  very often case  with pain over the chest   is refered  for opinion . I shall mention what common diseases to rule out in the clinic. Cervical spondylosis Myalgia   Costochontritis  left second.(tietze syndrome).

Arthritis left shoulder Or frozen shoulder mild to Moderate. Neuralgia  Plueritis left side Pericarditis (rare) Gerd Gastritis Indigedtion and hyperacidity. Cholecystitis Gall bladder stone (cholelithiasis). Hepatitis Functional. Rarely patient of neuro circulatory asthenia present like typical angina Pectoris having all cardiac Tests done. Diagnosis of no heart…