Chest wall pain - Revision history

Elcatracho: /* Types */

2022-01-11T18:51:11Z

Types

← Older revision		Revision as of 18:51, 11 January 2022
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	**Inflammation of costal cartilages or sternal articulations		**Inflammation of costal cartilages or sternal articulations
	**No localized swelling		**No localized swelling
			**May be triggered by wearing backpack on one shoulder
			**Crowing Rooster Maneuver
			***Patients hands placed behind their head with neck extended. Posterior traction of both abducted shoulders reproduces pain.
	*'''Tietze's syndrome'''		*'''Tietze's syndrome'''
	**Benign, painful, localized swelling of costosternal, sternoclavciular, or costochondral joints		**Benign, painful, localized swelling of costosternal, sternoclavciular, or costochondral joints

Elcatracho: /* Types */

2021-01-25T04:23:45Z

Types

← Older revision		Revision as of 04:23, 25 January 2021
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	*'''Precordial catch syndrome'''		*'''Precordial catch syndrome'''
	**1-2 minute lancinating pain near the cardiac apex		**1-2 minute lancinating pain near the cardiac apex
	**~~Associated with poor posture and inactivity~~		**May occur while bending over or slouching<ref>THE “PRECORDIAL CATCH,” A SYNDROME OF ANTERIOR CHEST PAIN. (1959). Annals of Internal Medicine, 51(3), 461. doi:10.7326/0003-4819-51-3-461 </ref>
	*'''Sternalis syndrome'''		*'''Sternalis syndrome'''
	**Tenderness directly over body of sternum or sternalis muscle		**Tenderness directly over body of sternum or sternalis muscle

ClaireLewis: /* Differential Diagnosis */

2019-10-01T20:35:55Z

Differential Diagnosis

← Older revision		Revision as of 20:35, 1 October 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[ACS]]		{{Chest Pain DDX}}
	*[[Pneumothorax]]
	*[[GERD]]
	*[[Pneumonia]]
	*[[Pulmonary embolism]]
	*[[Rib fracture]]
	*Arthritis
	*[[Herpes zoster]]

	==Evaluation==		==Evaluation==

ClaireLewis at 03:29, 24 September 2019

2019-09-24T03:29:04Z

← Older revision		Revision as of 03:29, 24 September 2019
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*EKG if ruling out ACS		*[[EKG]] if ruling out ACS
	*Consider CXR based on symptoms and risk factors		*Consider [[CXR]] based on symptoms and risk factors

	==Management<ref> Phillips, K and Schur, P. (2018). Treatment of musculoskeletal chest pain. In P.L. Romain (Ed.), UpToDate. Retrieved August 20, 2018 from https://www.uptodate.com/contents/treatment-of-musculoskeletal-chest-pain </ref>==		==Management<ref> Phillips, K and Schur, P. (2018). Treatment of musculoskeletal chest pain. In P.L. Romain (Ed.), UpToDate. Retrieved August 20, 2018 from https://www.uptodate.com/contents/treatment-of-musculoskeletal-chest-pain </ref>==
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	**Hot or cold packs		**Hot or cold packs
	*Pharmacologic		*Pharmacologic
	**Topical capsaicin or diclofenac cream		**Topical [[capsaicin]] or [[diclofenac]] cream
	**NSAIDs		**[[NSAIDs]]
	**Acetaminophen		**[[Acetaminophen]]
	*Approximately 50% of patients will continue to have chest pain for 6-12 months with moderate limitation of activities <ref>Zaruba RA, Wilson E. IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES. Int J Sports Phys Ther 2017; 12:458. </ref>		*Approximately 50% of patients will continue to have chest pain for 6-12 months with moderate limitation of activities <ref>Zaruba RA, Wilson E. IMPAIRMENT BASED EXAMINATION AND TREATMENT OF COSTOCHONDRITIS: A CASE SERIES. Int J Sports Phys Ther 2017; 12:458. </ref>

	==Disposition==		==Disposition==
	*~~Dischage~~		*Discharge
	*Follow up in 4-6 weeks		*Follow up in 4-6 weeks

ClaireLewis: /* Types */

2019-09-24T03:27:45Z

Types

← Older revision		Revision as of 03:27, 24 September 2019
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	===Types===		===Types===
	*'''Costochondritis'''		*'''[[Costochondritis]]'''
	**Inflammation of costal cartilages or sternal articulations		**Inflammation of costal cartilages or sternal articulations
	**No localized swelling		**No localized swelling

Spenceemmett: /* Evaluation */

2018-09-07T20:32:15Z

Evaluation

← Older revision		Revision as of 20:32, 7 September 2018
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	*Clinical diagnosis		*Clinical diagnosis
	*EKG if ruling out ACS		*EKG if ruling out ACS
	*~~consider~~ CXR based on risk factors		*Consider CXR based on symptoms and risk factors

	==Management<ref> Phillips, K and Schur, P. (2018). Treatment of musculoskeletal chest pain. In P.L. Romain (Ed.), UpToDate. Retrieved August 20, 2018 from https://www.uptodate.com/contents/treatment-of-musculoskeletal-chest-pain </ref>==		==Management<ref> Phillips, K and Schur, P. (2018). Treatment of musculoskeletal chest pain. In P.L. Romain (Ed.), UpToDate. Retrieved August 20, 2018 from https://www.uptodate.com/contents/treatment-of-musculoskeletal-chest-pain </ref>==

Spenceemmett: /* Clinical Features */

2018-09-07T20:31:47Z

Clinical Features

← Older revision		Revision as of 20:31, 7 September 2018
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	==Clinical Features==		==Clinical Features==
	*Varying types of pain: sharp, dull, pleuritic		*Varying types of pain: sharp, dull, pleuritic
	*Can be ~~worsening~~ by inspiration or coughing		*Can be worsened by inspiration or coughing
	*Not typically associated with ~~heart~~, erythema, or swelling (except Tietze's syndrome)		*Not typically associated with cardiac disease, erythema, or swelling (except Tietze's syndrome)
	*Positive crowing roster maneuver or horizontal arm flexion		*Positive crowing roster maneuver or horizontal arm flexion

	==Differential Diagnosis==		==Differential Diagnosis==
	*[[ACS]]		*[[ACS]]

Spenceemmett: /* Types */

2018-09-07T20:30:54Z

Types

← Older revision		Revision as of 20:30, 7 September 2018
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	**No localized swelling		**No localized swelling
	*'''Tietze's syndrome'''		*'''Tietze's syndrome'''
	**Benign, painful, localized swelling of costosternal, ~~sternoclvaciular~~, or costochondral joints		**Benign, painful, localized swelling of costosternal, sternoclavciular, or costochondral joints
	**Associated with excessive coughing		**Associated with excessive coughing
	*'''Xiphodynia'''		*'''Xiphodynia'''

Therriac at 19:39, 20 August 2018

2018-08-20T19:39:32Z

← Older revision		Revision as of 19:39, 20 August 2018
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	Wise, C. (2017). Major causes of musculoskeletal chest pain in adults. In P. L. Romain (Ed.), UpToDate. Retrieved August 20, 2018, from https://www.uptodate.com/contents/major-causes-of-musculoskeletal-chest-pain-in-adults		Wise, C. (2017). Major causes of musculoskeletal chest pain in adults. In P. L. Romain (Ed.), UpToDate. Retrieved August 20, 2018, from https://www.uptodate.com/contents/major-causes-of-musculoskeletal-chest-pain-in-adults

			[[Category: Cardiology]]
			[[Category: Misc/General]]
			[[Category: Symptoms]]

Therriac: /* Chest pain */

2018-08-20T19:36:42Z

Chest pain

← Older revision		Revision as of 19:36, 20 August 2018
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	*Positive crowing roster maneuver or horizontal arm flexion		*Positive crowing roster maneuver or horizontal arm flexion
	==Differential Diagnosis==		==Differential Diagnosis==
	~~===[[Chest pain]]===~~

	*[[ACS]]		*[[ACS]]
	*[[Pneumothorax]]		*[[Pneumothorax]]