Chest pain (peds): Difference between revisions
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==DDx== | ==DDx== | ||
#Idiopathic | #Idiopathic (most common) | ||
#Precordial catch syndrome | |||
#Musculoskeletal | ##Sudden, intense pain w/ deep inspiration, self-resolving | ||
#Pulmonary | #Musculoskeletal | ||
#GI | ##Costochondritis, trauma | ||
#Pulmonary | |||
##Ptx | |||
#GI | |||
##Esophagitis) | |||
#Psychosomatic | #Psychosomatic | ||
#Cardiac | #Cardiac (1%) | ||
## | ##Left-sided obstructive lesions | ||
## | ##Dysrhythmias | ||
## | ##HOCM | ||
##Pericarditis | ##Pericarditis | ||
##Prinzmetal's angina (vasospasm) | ##Prinzmetal's angina (vasospasm) | ||
##MI | ##MI | ||
###Rare, even post-Kawasaki | |||
##Mitral valve prolapse | ##Mitral valve prolapse | ||
==Work-Up== | ==Work-Up== | ||
# | #Physical exam | ||
##Listen for murmurs | ##Listen for murmurs | ||
##Palpate | ##Palpate | ||
##Compress rib cage | ##Compress rib cage | ||
# EKG | #EKG | ||
# CXR | #CXR | ||
#Consider echo | #Consider echo | ||
Revision as of 03:18, 18 July 2011
DDx
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain w/ deep inspiration, self-resolving
- Musculoskeletal
- Costochondritis, trauma
- Pulmonary
- Ptx
- GI
- Esophagitis)
- Psychosomatic
- Cardiac (1%)
- Left-sided obstructive lesions
- Dysrhythmias
- HOCM
- Pericarditis
- Prinzmetal's angina (vasospasm)
- MI
- Rare, even post-Kawasaki
- Mitral valve prolapse
Work-Up
- Physical exam
- Listen for murmurs
- Palpate
- Compress rib cage
- EKG
- CXR
- Consider echo
Source
Adapted from Pani