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Also known as 'effort angina', this refers to the classic type of angina related to myocardial ischemia.A typical presentation of stable angina is that of chest discomfort and associated symptoms precipitated by some activity (running, walking, etc.) with minimal or non-existent symptoms at rest or after administration of sublingual nitroglycerin. [11]
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]
Psychogenic causes of chest pain can include panic attacks; however, this is a diagnosis of exclusion. [12] In children, the most common causes for chest pain are musculoskeletal (76–89%), exercise-induced asthma (4–12%), gastrointestinal illness (8%), and psychogenic causes (4%). [13] Chest pain in children can also have congenital causes.
Chest discomfort, including chest pain; Loss of appetite and rapid weight loss; Pulmonary fibrosis is suggested by a history of progressive shortness of breath with exertion. Sometimes fine inspiratory crackles can be heard at the lung bases on auscultation. A chest X-ray may not be abnormal, but high-resolution CT will often show abnormalities.
Pulmonology (/ ˌ p ʌ l m ə ˈ n ɒ l ə dʒ i /, / ˌ p ʊ l m ə ˈ n ɒ l ə dʒ i /, from Latin pulmō, -ōnis "lung" and the Greek suffix -λογία-logía "study of"), pneumology (/ n ʊ ˈ m ɒ l ə dʒ i, n j ʊ-/, built on Greek πνεύμων pneúmōn "lung") or pneumonology [1] (/ n ʊ m ə n ˈ ɒ l ə dʒ i, n j ʊ-/) is a medical specialty that deals with diseases involving ...
The underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve. [1] [2] Risk factors include psychological stress. [2] The pain is not due to the heart. Diagnosis is based on the symptoms. Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest ...
Respiratory associated causes compose 13% to 24% of pediatric chest pain symptoms. Gastrointestinal and psychogenic symptoms reported by parents and patients occur less than 10% of the time. Cardiac causes of pediatric chest pain are found infrequently and are not identified more than 5% of the time. Unknown causes, were estimated to account ...
[9] [10] Regardless of specific organ of origin, the pain is usually perceived in the midline spanning anywhere from the lower abdomen up to the chest. In the early phases the pain is perceived in the same general area and it has a temporal evolution, making the onset sensation insidious and difficult to identify. [11]