Chest pain (peds): Difference between revisions

Revision as of 17:21, 24 May 2011

Idiopathic-most common
1. Precordial catch: pain w/ deep inspiration, self-resolving
Musculoskeletal (costochondritis, trauma)
Pulmonary-10%
GI (e.g. esophagitis)
Psychosomatic
Cardiac-1%
1. L-sided obstructive lesions
2. Arrhythmias
3. IHSS
4. Pericarditis
5. Prinzmetal's angina (vasospasm)
6. MI (rare, even post-Kawasaki)
7. Mitral valve prolapse

Adapted from Pani

Authors:

@@ Line 1: / Line 1: @@
 ==DDx==
+#Idiopathic-most common
+##Precordial catch: pain w/ deep inspiration, self-resolving
-Idiopathic-most common
+#Musculoskeletal (costochondritis, trauma)
+#Pulmonary-10%
-        Precordial catch: pain w/ deep inspiration, self-resolving
+#GI (e.g. esophagitis)
+#Psychosomatic
+#Cardiac-1%
+##L-sided obstructive lesions
-Musculoskeletal (costochondritis, trauma)
+##Arrhythmias
+##IHSS
+##Pericarditis
+##Prinzmetal's angina (vasospasm)
-Pulmonary-10%
+##MI (rare, even post-Kawasaki)
+##Mitral valve prolapse
-GI (e.g. esophagitis)
-Psychosomatic
-Cardiac-1%
--L-sided obstructive lesions
--Arrhythmias
--IHSS
--Pericarditis
--Prinzmetal's angina (vasospasm)
--MI (rare, even post-Kawasaki)
--Mitral valve prolapse
 ==Work-Up==
+#Careful physical exam
+##Listen for murmurs
-) Careful physical exam
+##Palpate
+##Compress rib cage
--Listen for murmurs
+# EKG
+# CXR
--Palpate
+#Consider echo
--Compress rib cage
-) EKG
-) CXR
-Consider echo
 ==Source==
 Adapted from Pani
 [[Category:Peds]]