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Costochondritis is a benign cause of chest wall pain from costal cartilage inflammation at the rib-to-sternum articulation. Patients present with upper chest wall pain provoked by movement without associated symptoms, such as shortness of breath, coughing, fever, or rash.
The ACC/AHA Joint Committee on Clinical Practice Guidelines has commissioned this guideline to focus on the evaluation of acute or stable chest pain or other anginal equivalents, in various clinical settings, with an emphasis on the diagnosis on ischemic causes.
28 paź 2021 · Chest pain protocols are intended to add structure to the process of patient evaluation. Although various terms such as accelerated diagnostic protocols or disposition pathways have been used to describe such protocols, they can collectively be referred to as CDPs.
chest pain presenting to primary care, an initial differential diagnosis should include cardiovascular, psychogenic, pulmo- nary, gastrointestinal, and miscellaneous or unknown sources (more to...
15 wrz 2009 · Costochondritis: diagnosis and treatment. Traditional practice is to treat with acetaminophen or anti-inflammatory medications where safe and appropriate, advise patients to avoid activities that produce chest muscle overuse, and provide reassurance.
Treatment of costochondritis consists of analgesia, rest, and reassurance. Rarely is physical therapy or combined lidocaine (Xylocaine)/corticosteroid injections of the costochondral joints...
• Ripping chest pain (“worse chest pain of my life”), especially when sudden in onset and occurring in a hypertensive patient, or with a known bicuspid aortic valve or aortic dilation, is suspicious of an acute aortic syndrome (e.g., aortic dissection).