Diferencia entre revisiones de «Chest pain (peds)»
| Línea 17: | Línea 17: | ||
*Precordial catch syndrome | *Precordial catch syndrome | ||
**Sudden, intense pain with deep inspiration, self-resolving | **Sudden, intense pain with deep inspiration, self-resolving | ||
**Usually located to one finger point and the intercostal space (often at apex of heart)<ref>Pickering D. Precordial catch syndrome. Arch Dis Child. 1981;56(5):401-403. doi:10.1136/adc.56.5.401</ref> | |||
*Musculoskeletal | *Musculoskeletal | ||
**[[Costochondritis]], [[thoracic trauma|trauma]] | **[[Costochondritis]], [[thoracic trauma|trauma]] | ||
Revisión del 04:19 25 ene 2021
This page is for pediatric patients. For adult patients, see: chest pain
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
- 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
Evaluation
- ECG
- CXR
- Consider echocardiography
Management
Disposition
See Also
External Links
References
- ↑ Pickering D. Precordial catch syndrome. Arch Dis Child. 1981;56(5):401-403. doi:10.1136/adc.56.5.401