Diferencia entre revisiones de «Chest pain (peds)»
Sin resumen de edición |
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| Línea 3: | Línea 3: | ||
*Common cause of presentation to the ED, especially in adolescents | *Common cause of presentation to the ED, especially in adolescents | ||
*The majority of pediatric chest pain is benign and not cardiac in origin | *The majority of pediatric chest pain is benign and not cardiac in origin | ||
*The main cause of cardiac chest pain in pediatrics is pericarditis | *The main cause of cardiac chest pain in pediatrics is [[pericarditis]] | ||
*Family history plays an important part screening for familial history of sudden death | *Family history plays an important part screening for familial history of sudden death | ||
==Clinical Features== | ==Clinical Features== | ||
*[[Chest pain]] | *[[Chest pain]] | ||
*Physical exam | |||
**Listen for murmurs | |||
**Palpate | |||
**Compress rib cage | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Línea 14: | Línea 18: | ||
**Sudden, intense pain with deep inspiration, self-resolving | **Sudden, intense pain with deep inspiration, self-resolving | ||
*Musculoskeletal | *Musculoskeletal | ||
**[[Costochondritis]], trauma | **[[Costochondritis]], [[thoracic trauma|trauma]] | ||
*Pulmonary | *Pulmonary | ||
**[[Pneumothorax]] | **[[Pneumothorax]] | ||
| Línea 27: | Línea 31: | ||
**[[Prinzmetal's angina]] (vasospasm) | **[[Prinzmetal's angina]] (vasospasm) | ||
**[[MI]] | **[[MI]] | ||
***Rare, even post-Kawasaki | ***Rare, even post-[[Kawasaki]] | ||
**[[Mitral valve prolapse]] | **[[Mitral valve prolapse]] | ||
==Evaluation== | ==Evaluation== | ||
*[[ECG]] | *[[ECG]] | ||
*[[CXR]] | *[[CXR]] | ||
Revisión del 14:35 19 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
- Chest pain
- Physical exam
- Listen for murmurs
- Palpate
- Compress rib cage
Differential Diagnosis
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain with deep inspiration, self-resolving
- Musculoskeletal
- 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
- ECG
- CXR
- Consider echocardiography