Chest pain (peds)
This page is for pediatric patients. For adult patients, see: chest pain
Background
- Common cause of presentation to the ED, especially in adolescents
- The majority of pediatric chest pain is benign and not cardiac in origin
- The main cause of cardiac chest pain in pediatrics is pericarditis
- Family history plays an important part screening for familial history of sudden death
Clinical Features
- Chest pain
- Physical exam
- Listen for murmurs
- Palpate
- Compress rib cage
Differential Diagnosis
- Idiopathic (most common)
- Precordial catch syndrome
- Sudden, intense pain with deep inspiration, self-resolving
- Musculoskeletal
- Pulmonary
- GI
- Psychosomatic
- Cardiac (1%)
- Left-sided obstructive lesions
- Dysrhythmias
- HOCM
- Pericarditis
- Prinzmetal's angina (vasospasm)
- MI
- Rare, even post-Kawasaki
- Mitral valve prolapse
Evaluation
- ECG
- CXR
- Consider echocardiography
Management
Disposition
See Also
External Links
References
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