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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.
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.
Psychogenic causes of chest pain can include panic attacks; however, this is a diagnosis of exclusion. [12] In children, the most common causes for chest pain are musculoskeletal (76–89%), exercise-induced asthma (4–12%), gastrointestinal illness (8%), and psychogenic causes (4%). [13] Chest pain in children can also have congenital causes.
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 underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve. [1] [2] Risk factors include psychological stress. [2] The pain is not due to the heart. Diagnosis is based on the symptoms. Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest ...
The causes of pediatric chest pain vary according to the organ or tissue in the child. that generates the pain. Generally, muscular skeletal pain, which includes costochondritis , is the reason for the emergency department visit.
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 ...
To test for CVA tenderness, the examiner first applies gentle pressure to the region inside of the CVA with their finger. [3] If gentle pressure does not elicit tenderness, the examiner places one hand over the region inside the CVA and taps that hand gently with the closed fist of the other hand. [1] [3]