Chest pain (peds)
DDx
Idiopathic-most common
Precordial catch: pain w/ deep inspiration, self-resolving
Musculoskeletal (costochondritis, trauma)
Pulmonary-10%
GI (e.g. esophagitis)
Psychosomatic
Cardiac-1%
-L-sided obstructive lesions
-Arrhythmias
-IHSS
-Pericarditis
-Prinzmetal's angina (vasospasm)
-MI (rare, even post-Kawasaki)
-Mitral valve prolapse
Work-Up
1) Careful physical exam
-Listen for murmurs
-Palpate
-Compress rib cage
2) EKG
3) CXR
Consider echo
Source
Adapted from Pani