Template:DDX CP peds
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Chest pain (peds)
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain with deep inspiration, self-resolving
- Usually located to one finger point and the intercostal space (often at apex of heart)[1]
- Musculoskeletal
- Pulmonary
- Pneumothorax
- Pneumonia (Peds)
- Pulmonary embolism
- Aortic dissection
- Uncommon but consider with history of connective tissue disease
- GI
- Psychosomatic
- Cardiac (1%)
- Left-sided obstructive lesions
- Dysrhythmias
- HOCM
- Pericarditis
- Prinzmetal's angina (vasospasm)
- MI
- Rare, even post-Kawasaki
- Consider coronary artery dissection
- Mitral valve prolapse
- ↑ Pickering D. Precordial catch syndrome. Arch Dis Child. 1981;56(5):401-403. doi:10.1136/adc.56.5.401