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Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
The expected symptoms of Bornholm disease include fever, pleuritic chest pain, or epigastric abdominal pain that is frequently spasmodic. [4] Bornholm associated chest pain is distinguished by attacks of severe pain in the lower chest, often on the right side.
Physical examination consists of gentle pressure to the chest wall with a single finger to identify the location of the discomfort. [2] Swelling and tenderness upon palpation at one or more of the costochondral , sternocostal , or sternoclavicular joints, is a distinctive trait of Tietze syndrome and is considered a positive diagnosis when found.
Other physical exam findings suggestive of cardiac chest pain may include hypertension, tachycardia, bradycardia, and new heart murmurs. [8] Chest pain that is reproducible during the physical exam with contact of the chest wall is more indicative of non-cardiac chest pain, but still cannot completely rule out acute coronary syndrome. [48]
In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patient's medical history followed by an examination based on the reported symptoms.
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.
Pictures! I believe there HAS to be better photos. I removed the one black/white photo that showed the muscle groups and replaced it with a better one that shows the muscle groups, but it doesn't quite reflect what is in the article. Then theres the infobox picture, which doesn't label the costochondral or costosternal joints.
Medical findings are the collective physical and psychological occurrences of patients surveyed by a medical doctor. The survey is composed of physical examinations by the doctor's senses and simple medical devices, which build clinical findings .