Chest pain (peds): Difference between revisions

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##Costochondritis, trauma
##Costochondritis, trauma
#Pulmonary
#Pulmonary
##Ptx
##[[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
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#CXR
#CXR
#Consider echo
#Consider echo
==See Also==
[[Chest Pain (DDx)]]


==Source==
==Source==
Adapted from Pani  
Adapted from Pani  


[[Category:Cards]]
[[Category:Peds]]
[[Category:Peds]]

Revision as of 09:55, 19 December 2011

DDx

  1. Idiopathic (most common)
  2. Precordial catch syndrome
    1. Sudden, intense pain w/ deep inspiration, self-resolving
  3. Musculoskeletal
    1. Costochondritis, trauma
  4. Pulmonary
    1. Pneumothorax
  5. GI
    1. Esophagitis
  6. Psychosomatic
  7. Cardiac (1%)
    1. Left-sided obstructive lesions
    2. Dysrhythmias
    3. HOCM
    4. Pericarditis
    5. Prinzmetal's angina (vasospasm)
    6. MI
      1. Rare, even post-Kawasaki
    7. Mitral valve prolapse

Work-Up

  1. Physical exam
    1. Listen for murmurs
    2. Palpate
    3. Compress rib cage
  2. EKG
  3. CXR
  4. Consider echo

See Also

Chest Pain (DDx)

Source

Adapted from Pani