Chest pain (peds)

Differential Diagnosis

• Idiopathic (most common)
• Precordial catch syndrome
  • Sudden, intense pain w/ deep inspiration, self-resolving
• Musculoskeletal
  • Costochondritis, trauma
• Pulmonary
  • Pneumothorax
• GI
  • Esophagitis
• Psychosomatic
• Cardiac (1%)
  • Left-sided obstructive lesions
  • Dysrhythmias
  • HOCM
  • Pericarditis
  • Prinzmetal's angina (vasospasm)
  • MI
    • Rare, even post-Kawasaki
  • Mitral valve prolapse

Diagnosis

• Physical exam
  • Listen for murmurs
  • Palpate
  • Compress rib cage
• ECG
• CXR
• Consider echo

See Also

• Chest pain