Chest Pain
Musculoskeletal strains
Respiratory
- infections with or without cough
- Asthma exacerbations
- Pneumothorax, haemothorax, pulm contusion (trauma)
- Pericarditis +/- effusion
- Coronary aneurysm (Kawasaki's)
- Ischemia (Familial hyperlipidemia, Kawasaki's, previous CHD/surg, anomalous coronary arteries)
- Arrhythmia
- Cardiac contusion (Trauma)
- Aortic dissection (Trauma)
- Acute Chest Syndrome (Sick-cell)
- PE
- Upper GI or biliary disease
- Pericarditis/dissection
- Anxiety, idiopathic - many children have no organic diagnosis made.
Precordial "catch" - sudden short sharp pains experienced, often on left side of chest, usually in healthy teenagers and young adults. The origin of this pain is unknown.
Ex Pulses
Ix
CXR
Troponin
ECG