Chest pain (peds): Difference between revisions
Ostermayer (talk | contribs) (Text replacement - "Category:Peds" to "Category:Pediatrics") |
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**Palpate | **Palpate | ||
**Compress rib cage | **Compress rib cage | ||
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*CXR | *CXR | ||
*Consider echo | *Consider echo | ||
Revision as of 17:18, 19 May 2016
Background
Clinical Features
Differential Diagnosis
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain w/ deep inspiration, self-resolving
- Musculoskeletal
- Costochondritis, trauma
- Pulmonary
- GI
- Psychosomatic
- Cardiac (1%)
- Left-sided obstructive lesions
- Dysrhythmias
- HOCM
- Pericarditis
- Prinzmetal's angina (vasospasm)
- MI
- Rare, even post-Kawasaki
- Mitral valve prolapse
Diagnosis
- Physical exam
- Listen for murmurs
- Palpate
- Compress rib cage
- ECG
- CXR
- Consider echo