Chest pain (peds): Difference between revisions
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== | ==Background== | ||
== | ==Clinical Features== | ||
==Differential Diagnosis== | |||
*Idiopathic (most common) | |||
*Precordial catch syndrome | |||
**Sudden, intense pain w/ deep inspiration, self-resolving | |||
*Musculoskeletal | |||
**Costochondritis, trauma | |||
*Pulmonary | |||
**[[Pneumothorax]] | |||
*GI | |||
**Esophagitis | |||
*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 | |||
*[[EKG]] | |||
*CXR | |||
*Consider echo | |||
==Management== | |||
==See Also== | ==See Also== | ||
[[Chest Pain (DDx)]] | [[Chest Pain (DDx)]] | ||
== | ==External Links== | ||
==Resources== | |||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 14:32, 1 June 2015
Background
Clinical Features
Differential Diagnosis
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain w/ deep inspiration, self-resolving
- Musculoskeletal
- Costochondritis, trauma
- Pulmonary
- GI
- Esophagitis
- 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
- EKG
- CXR
- Consider echo