Chest pain (peds): Difference between revisions
m (Rossdonaldson1 moved page Chest Pain (Peds) to Chest pain (peds)) |
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**[[Pneumothorax]] | **[[Pneumothorax]] | ||
*GI | *GI | ||
**Esophagitis | **[[Esophagitis]] | ||
*Psychosomatic | *Psychosomatic | ||
*Cardiac (1%) | *Cardiac (1%) | ||
**Left-sided obstructive lesions | **Left-sided obstructive lesions | ||
**Dysrhythmias | **[[Dysrhythmias]] | ||
**[[HOCM]] | **[[HOCM]] | ||
**[[Pericarditis]] | **[[Pericarditis]] | ||
**Prinzmetal's angina (vasospasm) | **[[Prinzmetal's angina]] (vasospasm) | ||
**[[MI]] | **[[MI]] | ||
***Rare, even post-Kawasaki | ***Rare, even post-Kawasaki | ||
**Mitral valve prolapse | **[[Mitral valve prolapse]] | ||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 14:35, 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
- 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