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Chest Pain In Children
CAUSES OF CHEST PAIN IN CHILDREN
In adults chest pain is a serious symptom that is not taken lightly. In children most chest pains are not serious or self limited. The serious causes are from the heart, tumor, pneumonia, and pneumothorax.
CHEST WALL CAUSES
Herpes Zoster (Shingles)
Tumors or Infiltrative Processes
Blunt Injury
Muscle Strain
Trauma from Coughing
Adolescent Breast Development
Costochondritis (Tietze Syndrome)
Juvenile Rheumatoid Arthritis
Trichinosis
Slipping Rib Syndrome
Xiphoid Process Syndrome
Cervical Ribs
Scalenus Anticus Syndrome
Costoclavicular Compression Syndrome
Juvenile Ankylosing Spondylitis
CARDIOVASCULAR CAUSES
Pericarditis
Myocardial Ischemia (Heart attack; very rare in children)
Pneumopericardium
Dysrhythmias
Chronic Pulmonary Hypertention
Mitral Val Prolapse (Barlow Syndrome)
Aortic Stenosis
Pulmonary Stenosis
Dissecting Aortic Aneurysm (Marfan and Ehlers Danlos Syndrome)
Pulmonary Vascular Obstruction
Rheumatic Fever
Sickle Cell Anemia
Pericardial Defect
Takayasu Arteritis
Pheochromocytoma
PULMONRY & PLEURAL CAUSES
Asthma
Pneumonia
Tracheitis
Pneumothorax
Penumomediastinums
Primary Infections
Epidemic Pelurodynia (Devil's Grip)
Precordial Catch (Stitch)
Familial Mediterranean Fever
Familial Angioneurotic Edema
Systemic Lupus Erythematosus (SLE)
Interstitial Pneumonitis
Mediastinitis
MediastinalTumor
Sarcoidosis
Pulmonary Tuberculosis (TB)
ESOPHAGEAL CAUSES
Foreign Body
Gastroesophageal Reflux (GER)
Achalasia
Ulceration and Stricture
Esophageal Tear
NEUROLOGIC CAUSE
Spinal Cord Compression
PSHYCHOGENIC CAUSES
Hyperventilation
Malingering
Conversion Reaction
Globus Hystericus
REFERRED PAIN FROM OUTSIDE THE CHEST
Cholecystitis
Leukemia-Lymphoma
Pancreatitis
Hiatal Hernia
Peptic Ulcer
Pylorospasm
Pancreatic Pseudocyst
Nephrolithiasis
REFERENCE:
Signs & Symptoms In Pediatrics
2nd Edition, page 271
Tunnessen, Jr
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor
Bangor, Maine: "First City with EBPP (Evidence Based Pediatrics for Parents) Website"
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