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Before a costochondritis diagnosis is made, other serious causes of chest pain are investigated. Further evaluation for cardiopulmonary or neoplastic causes is typically based on history, age, and risk factors , with diagnostic imaging and tests, completed to assess for life-threatening emergencies.
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.
It takes several forms, osteochondritis, costochondritis, and relapsing polychondritis among them. Costochondritis is notable for feeling like a heart attack. Costochondritis is notable for feeling like a heart attack.
Costochondritis is considered a more common condition and is not associated with any swelling to the affected joints, which is the defining distinction between the two. [ 2 ] [ 5 ] Tietze syndrome commonly affects the 2nd or 3rd rib and typically occurs among a younger age group, [ 2 ] while costochondritis affects the 2nd to 5th ribs and has ...
Depending upon the diagnosis, a person may be placed in the intensive care unit, admitted to the hospital, or be treated outpatient. [8] For persons with suspected cardiac chest pain or acute coronary syndrome , or other emergent diagnoses such as pneumothorax , pulmonary embolism , or aortic dissection , admission to the hospital is most often ...
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 sternocostal joints, also known as sternochondral joints or costosternal articulations, are synovial plane joints of the costal cartilages of the true ribs with the sternum. [1]
Chest pain in children is the pain felt in the chest by infants, children and adolescents. In most cases the pain is not associated with the heart. It is primarily identified by the observance or report of pain by the infant, child or adolescent by reports of distress by parents or caregivers.