© 2019 BMJ Publishing group Ltd. Onset of pain Characterof pain Radiation of pain Timing of pain Associated symptoms Investigationfindings Site of pain Assessment of postoperative chest pain Interactive After coronary artery bypass grafting Burning Following a dermatome region With deep inspiration Shortness of breath Consolidation on x ray Acute Chronic Dull Sharp Upper limbs, neck, or jaw Central chest Localised tosternotomy With eating or alcohol consumption At night With movement On palpitation Constant Impact on quality of life Fever Vomiting Loss of consciousness Raised troponin Raised white cell count Raised C reactive protein Abnormal ECG Localised to sternotomy Inferior chest Central chest Audible click at surgical site Musculo-skeletal pain of chest wall Gastro- oesophageal reflux Post cardiotomy syndrome Coronary artery disease Chronic postoperative pain Sternal instability, sternal wire, or mediastinitis Respiratory disease Reset all Click signs and symptoms to show which conditions are linked to all the features you have selected Select conditions to show all linked signs and symptoms DRAFT