Cardiovascular Medicine Book

http://www.fpnotebook.com/

Chest Wall Pain

Aka: Chest Wall Pain, Musculoskeletal Chest Pain
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  1. See Also
    1. Chest Pain
    2. Chest Pain Approach
  2. Differential Diagnosis
    1. See Chest Pain
    2. Muscle Strain
      1. Superior: Trapezius Insertion
      2. Mid: Pectoralis muscle
      3. Inferior: Latisimus dorsi insertion
    3. Costochondritis
      1. Common, costochondral margin pain typically at several sites without swelling or induration
    4. Tietze Syndrome
      1. Rare, focal costochondral margin pain with localized swelling and inflammation
      2. Inflammation secondary to localized infection, neoplasm or rheumatologic condition
    5. Slipping Rib Syndrome
      1. Hypermobile inferior costal cartilage
    6. Fibromyalgia
      1. ChestTender Points at second costochondral margin (in addition to 10 total of 18 points positive)
    7. Thoracic Herpes Zoster
      1. Unilateral, dermatomal distribution of vessicles on a red base
    8. Painful Xiphoid Syndrome
      1. Localized tenderness over the sternoxiphoid joint
    9. Arthritis
      1. May affect sternoclavicular joint or sternomanubrial joint
  3. Precautions
    1. Heart disease can coexist with Chest Wall Pain
  4. References
    1. How (2005) Eur J Intern Med 16(6): 432-6
    2. Proulx (2009) Am Fam Physician 80(6): 617-20

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