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Objectives: Differentiate costochondritis from other sources of chest pain based on clinical findings. Create a clinically appropriate diagnostic strategy for a patient with possible costochondritis. Develop an individualized management plan for a patient diagnosed with costochondritis.
Although high-quality evidence is lacking, treatment options include local application of heat, oral or topical nonsteroidal anti-inflammatory drugs, lidocaine patches, capsaicin cream, physical...
4 dni temu · Costochondritis presents with insidious onset of anterior chest-wall pain exacerbated by certain movements of the chest and deep inspiration. Key sign is pain on palpation of costochondral joints (particularly the second to the fifth). Clinical diagnosis. Tests used to rule out conditions with a ...
chest pain should be included in decision-making; information about risk of adverse events, radiation exposure, costs, and alternative options should be provided to facilitate the discussion.
28 paź 2021 · The “2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain” provides recommendations based on contemporary evidence on the assessment and evaluation of chest pain. This guideline presents an evidence-based approach to risk stratification and the diagnostic workup for the evaluation of chest pain.
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.
DIFFERENTIAL DIAGNOSIS. The diferential diagnosis for patients with chest pain is broad and must be carefully considered before settling on a diagnosis of costochondritis (Table 1).1,6,16-28...
