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Costochondritis is a common condition that is responsible for approximately 13–36% of acute chest pain-related concerns from adults depending on the setting, with 14–39% for adolescents. [8] It is most often seen in individuals who are older than 40 years of age and occurs more often in women than in men. [3]
[3] [6] Determining the cause of chest pain is based on a person's medical history, a physical exam and other medical tests. [3] About 3% of heart attacks, however, are initially missed. [1] Management of chest pain is based on the underlying cause. [1] Initial treatment often includes the medications aspirin and nitroglycerin.
Treatment is usually via reassurance, as the pain generally resolves without any specific treatment. Precordial catch syndrome is relatively common, and children between the ages of 6 and 12 are most commonly affected. Males and females are affected equally. [1] It is less common in adults. [2] The condition has been described since at least ...
Tietze syndrome is a rare cause of chest pain. The condition was first described by Tietze in 1921 as a benign, nonsuppurative painful swelling of the superior chondrosternal joints. Costochondritis, a differential diagnosis for Tietze syndrome, characterized by painful, tender, but nonswollen chondrosternal joints, is more common.
Costochondritis is a common cause of chest pain, consisting of up to 30% of chest pain complaints in emergency departments. The pain is typically diffused with the upper costochondral or sternocostal junctions most frequently involved, unlike slipping rib syndrome, which involves the lower rib cage.
The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, commonly called the Beers List, [1] are guidelines published by the American Geriatrics Society (AGS) for healthcare professionals to help improve the safety of prescribing medications for adults 65 years and older in all except palliative settings.
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For people who do not respond to treatment, sputum culture should be considered, and culture for Mycobacterium tuberculosis should be carried out in persons with a chronic productive cough. [69] Microbiological evaluation is also indicated in severe pneumonia, alcoholism, asplenia , immunosuppression, HIV infection, and those being empirically ...