Diferencia entre revisiones de «Chest pain (peds)»
| Línea 37: | Línea 37: | ||
*[[ECG]] | *[[ECG]] | ||
*[[CXR]] | *[[CXR]] | ||
*Consider | *Consider [[echocardiography]] | ||
==Management== | ==Management== | ||
Revisión del 21:10 5 oct 2019
See chest pain for adult patients.
Background
- Common cause of presentation to the ED, especially in adolescents
- The majority of pediatric chest pain is benign and not cardiac in origin
- The main cause of cardiac chest pain in pediatrics is pericarditis
- Family history plays an important part screening for familial history of sudden death
Clinical Features
Differential Diagnosis
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain with 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
Evaluation
- Physical exam
- Listen for murmurs
- Palpate
- Compress rib cage
- ECG
- CXR
- Consider echocardiography