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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]
Chest X-ray of the same patient as the picture above. A small crescent of air can be seen under the right part of the diaphragm, caused by Chilaiditi's sign. However, it could easily be mistaken for free intra-abdominal air (pneumoperitoneum) which could mistakenly be attributed to bowel perforation.
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
Chest pain is pain or discomfort in the chest, typically the front of the chest. [1] It may be described as sharp, dull, pressure, heaviness or squeezing. [ 3 ] Associated symptoms may include pain in the shoulder, arm, upper abdomen , or jaw, along with nausea , sweating, or shortness of breath .
Kamath says it can cause intermittent chest pain or sharp, tearing chest pain that often radiates to the shoulders and the back. It more often happens to men between the ages of 60 and 80.
The epigastrium is the part of the abdomen where abdominal thrusts (the Heimlich manoeuvre) are able to produce a rapid and forceful exhalation of breath. [citation needed] Palpation of the epigastrium can be used to feel the structures below it. [2] This includes the liver, and the stomach. [2] An aortic aneurysm may be felt as a mass in the ...
patient clenches fist over chest when asked to describe pain Lhermitte's sign: Jean Lhermitte: neurology: lesions of cervical cord dorsal columns or caudal medulla, MS, chemotherapy, Behçet's disease: electrical sensation down the back and into limbs with neck flexion or extension Liebermeister's rule: Carl von Liebermeister: internal medicine
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