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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.
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 ...
The clinician may or may not decide to perform diagnostic testing. This is especially true if the child or adolescent has symptoms of chronic pain. If an obvious cause of the chest pain is not readily apparent, testing may begin with an x-ray and an electrocardiogram. This helps the clinician to determine whether or not the cause of pain is ...
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.
Tests for rheumatoid factor are negative in affected persons with RP, unless there is a co-morbidity with RA. [6] Less often it has been reported that persons may experience arthralgia, monoarthritis, or chronic polyarthritis that mimics rheumatoid arthritis, leading to a difficult diagnosis for this disease. [3]
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.
In costochondritis and Tietze syndrome, inflammation of the costal cartilage occurs. [4] This is a common cause of chest pain. [5] Severe trauma may lead to fracture of the costal cartilage. [6] Such injuries often go unnoticed during x-ray scans, but can be diagnosed with CT scans. [6]
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.