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In environments such as the emergency department, an estimated 20-50% of non-cardiac chest pain is due to a musculoskeletal cause. [1] Despite musculoskeletal conditions such as Tietze syndrome being a common reason for visits to the emergency room, they are frequently misdiagnosed as angina pectoris , pleurisy , and other serious ...
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]
In old age, the costal cartilages are prone to superficial ossification, particularly in women with age of 50 years and over. [3] 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]
Although it may not seem like as big a deal, chest pain on the right side can be cause for concern, too. Right-side chest pain may be a sign of something less worrisome, like muscle pain. Or it ...
Digestive issues such as acid reflux can radiate pain into the right side of the chest. Several musculoskeletal problems, such as broken ribs and pulled chest or back muscles can also result in pain.
Position of the xiphoid process (shown in red). Symptoms: Pain, tenderness, and discomfort in upper abdomen, chest, and throat. [1] Diagnostic method: Based on symptoms after ruling out other possible causes, and palpation of the xiphoid area [1]
Levine's sign is a clenched fist held over the chest to describe ischemic chest pain. [1]It is named for Samuel A. Levine (1891–1966), an influential American cardiologist, who first observed that many patients with chest pain made this same sign to describe their symptoms.
Pain occurring immediately on surfacing or up to many hours later; Cutaneous Skin Itching, usually around the ears, face, neck, arms, and upper torso; Sensation of tiny insects crawling over the skin (formication) Mottled or marbled skin or subcutaneous crepitation, usually around the shoulders, upper chest and abdomen, with itching