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