Sternal Tenderness: Causes & Reasons

Possible Causes for Sternal Tenderness

Localized sternal tenderness was present in 68 (97.1%), external signs of contusion/ecchymosis in 33 (47.1%), and dyspnea in 10 (14.3%) patients. [ncbi.nlm.nih.gov]

tenderness and pain who were discharged after normal lateral sternal radiography had such fractures. [emj.bmj.com]

ICU admission (if unstable) may also be necessary.[ 30 ] Patients with suspected myocardial contusion include those with anterior chest wall ecchymosis, sternal tenderness [ncbi.nlm.nih.gov]

Chronic Phase of Chronic Myeloid Leukemia

[…] perivascular infiltrate of neutrophils in the dermis fever and painful maculonodular violaceous lesions trunk, arms, legs, and face *Massive - and in almost all patients Sternal [slideshare.net]

tenderness – lower part – patient can detect Neutrophil alkaline phosphatase activity is low or absent (90%) - Activity increases with treatment (limited use) glucocerebrocidase [slideshare.net]

Chest Trauma

(boundaries defined as the upper and lower costal margins circumferentially; isolated clavicular tenderness does not qualify) Sternal tenderness Thoracic spine tenderness [emdocs.net]

[…] fracture Diagnosis Anterior chest wall bruising/tenderness Tachycardia Tachypnoea Prolonged capillary refill time Hypotension May have arrhythmia May be asymptomatic May [rch.org.au]

Sternal fracture is treated with rest, analgesics and airway hygiene. [intechopen.com]

Philadelphia Chromosome-Positive Chronic Myeloid Leukemia

On physical examination, he had huge splenomegaly and hepatomegaly, sternal tenderness and generalized lymphadenopathy. [ajmhs.org]

Costochondritis

The adjacent intercostal [ 12 ], sternal, and pectoralis major and minor muscles may be tender to palpation [ 14 ]. [clinicalgate.com]

Vitamin D Deficiency

Vitamin D deficiency can result from inadequate nutritional intake, inadequate exposure to sunlight or malabsorption. Vitamin D is important for calcium homeostasis and for optimal skeletal health. A deficiency results in impaired bone mineralization and leads to osteomalacia, or rickets when diagnosed in children. The[…] [symptoma.com]

Axial Spondyloarthritis

Copy/Paste the key inputs from the product brochure, per guidance from Marketing. The axial spondyloarthritis (AxSpA) market boasts biologics representing two distinct drug classes, the blockbuster tumor necrosis factor-alpha (TNF-α) inhibitors (Amgen’s Enbrel, AbbVie’s Humira, Janssen’s Remicade and Simponi /[…] [decisionresourcesgroup.com]

Myeloproliferative Disease

[…] myeloproliferative syndromes see under disorder. Medical dictionary. 2011. Look at other dictionaries: Myeloproliferative disease — Classification and external resources ICD 10 D47.1 ICD 9 205.1 […] Wikipedia Myeloproliferative Neoplasie — Unter dem Begriff der Myeloproliferativen Neoplasien (MPN) (von altgriechisch µυєλός,[…] [medicine.academic.ru]

Ankylosing Spondylitis

Ankylosing spondylitis is a chronic inflammatory disorder of unknown origin that primarily affects the spine, sternum, and large joints in the body. The most distinctive feature of this condition is a significant or complete loss of flexibility in the spine. People with this disorder experience lower back pain, morning[…] [hss.edu]

Hodgkin Lymphoma

The endobronchial localization of Hodgkin's disease is a rare entity which is often confused with endobronchial tuberculosis in our setting. We report the case of a 16 years old female who presented with 6 months history of dry cough, hemoptysis, dyspnea, dysphagia and dysphonia. The chest radiography showed a[…] [ncbi.nlm.nih.gov]

Chronic Myeloid Leukemia

Chronic myeloid leukemia: reminiscences and dreams, Jerald P. Radich, Michael W. Deininger, Jane F. Apperley, Timothy P. Hughes, Christine J. Harrison, Carlo Gambacorti-Passerini, Giuseppe Saglio, Jorge Cortes, George Q. Daley Haematologica May 2016 101: 541-558; doi: 10.3324/haematol.2015.139337 Abstract With the deaths of[…] [haematologica.org]

Multiple Injuries

Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child[…] [ncbi.nlm.nih.gov]

Polycythemia Vera

Overview Polycythemia vera (pol-e-sy-THEE-me-uh VEER-uh) is a slow-growing blood cancer in which your bone marrow makes too many red blood cells. These excess cells thicken your blood, slowing its flow. They also cause complications, such as blood clots, which can lead to a heart attack or stroke. Polycythemia vera[…] [mayoclinic.org]

Hungry Bones Syndrome

Prolonged hypocalcemia following parathyroidectomy, called hungry bone syndrome, is a common complication of parathyroid surgery seen in 13-30% of cases. In this article, we report the case of a 48-year-old woman with bone pain and multiple brown tumors as the first manifestation of primary hyperparathyroidism due[…] [ncbi.nlm.nih.gov]

Blast Phase of Chronic Myeloid Leukemia

The Cytologic Features of Chronic Myelogenous Leukemia and Its Lymphoid Blast Phase in Body Fluid: A Case Report. Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea. cskang@catholic.ac.kr ABSTRACT Although chronic myelogenous leukemia (CML) may be involved in any[…] [jpatholtm.org]

X-Linked Hypophosphatemia

(OMIM phenotype number #307800 ) See FACT SHEET X-Linked Hypophosphatemia (XLH) X-linked, dominant, hypophosphatemic rickets (XLHR) is a genetic disorder caused by inactivating mutations in the PHEX gene (phosphate-regulating gene with homologies to endopeptidase on the X chromosome). XLHR, first described by[…] [iofbonehealth.org]

Familial Hypophosphatemia

Abstract The fate of an intravenous dose of tritiated vitamin D(3) was studied in seven normal subjects, four children with vitamin D-resistant rickets, and four adults with a familial history of vitamin D-resistant rickets and persistent hypophosphatemia. An abnormal metabolism of vitamin D in vitamin D-resistant[…] [ncbi.nlm.nih.gov]

Chronic Acquired Pure Red Cell Aplasia

General examination : conscious oriented afebrile pallor + no icterus/ cyanosis clubbing pedal edema lymphadenopathy sternal tenderness 7. [slideshare.net]

Heart Injury

Although physical examination is non-specific, sternal tenderness or ecchymoses may be found. [jems.com]

sternal fractures, clavicle integrity, tracheal position, haemo/pneumothorax INVESTIGATIONS CXR ECHO: RWMA, contractility, valvulopathy, tamponade CT chest: aortogram TNT [litfl.com]

Tachypnea, irregular lung sounds, chest wall tenderness, chest abrasion or ecchymosis, rib or sternal fractures, and seatbelt sign across the chest are some of the physical [ncbi.nlm.nih.gov]

Polyserositis

Gum hypertrophy, lymphadenopathy, petechiae, ecchymosis, mucosal bleeding, and sternal tenderness were absent. [ccij-online.org]

Traumatic Perforation of the Trachea

tenderness, and haemoptysis. [annals.in]

Failure to diagnose the condition early may lead to disastrous acute or delayed complications. [1] Common presenting signs include subcutaneous emphysema, dyspnoea, sternal [annals.in]

Aleukemic Leukemia

tenderness (due to bone marrow expansion) Neurological symptoms (due to CNS infiltration) Laboratory: 50% have WBC > 10,000, 20% have WBC > 100,000 Due to circulating blasts [pathologyoutlines.com]

At admission, she had sternal tenderness, mild pallor, and petechiae over extremities. [jscisociety.com]

[…] thrombocytopenia) Tissue infiltration with myelomonocytic, monocytic and monoblastic leukemia, including gingival hyperplasia and leukemia cutis (monocytes tend to infiltrate) Sternal [pathologyoutlines.com]

Myocardial Contusion

Those with anterior chest wall cr ntusions, sternal or anterior rib fractures, or pain/tenderness of the anterior c.' [uthsc.pure.elsevier.com]

Those with anterior chest wall contusions, sternal or anterior rib fractures, or pain/tenderness of the anterior chest (n = 140, 13%) underwent immediate and daily ECG, and [ncbi.nlm.nih.gov]

[…] to palpation step-off indicating rib or sternal fracture subcutaneous crepitus likely has pneumothorax as well new heart murmur jugular venous distention Imaging Focused [medbullets.com]

Mediastinitis

tenderness Imaging Radiographs indication should be obtained if mediastinitis is suspected findings mediastinal widening Computerized tomography (CT) indication should be [step2.medbullets.com]

Minor or superficial infections may occur first; you'll note localized erythema and tenderness. [nursingcenter.com]

The physical exam in patients with symptoms concerning mediastinitis will often be positive for sternal instability, wound discharge, pain, and tenderness. [ncbi.nlm.nih.gov]

Hereditary Elliptocytosis 2

No sternal tenderness, glands or purpura was noticeable. [jpgmonline.com]

Retroperitoneal Hematoma

General physical examination revealed pallor, sternal tenderness and massive splenomegaly. [pubs.sciepub.com]

Leukemoid Reaction

Sternal tenderness, Splenomegaly Hepatomegaly Easy bruising Weight loss Priapism LAP is an enzyme present in the cytoplasmic microsomes of neutrophils, bands, metamyelocytes [slideshare.net]

tenderness was present. [slideshare.net]

[…] bleeding tendency  PAST h/o -> No h/o Tb/HTN/DM  PERSONAL h/o -> consumes alcohol occasionally  P/A –mild distention of abdomen+ moderate splenomegaly(+) mild hepatomegaly Sternal [slideshare.net]

Libman-Sacks Disease

[…] the bacteria-free cases; the same holds true of joint pains. ...Painful cutaneous erythematosus nodules were not observed in the bacteria-free cases except in one case...Sternal [themitralvalve.org]

tenderness is equally frequently met with in both groups of cases...Petechiae occur in the bacteria-free cases, but are not as abundant and do not occur so frequently...hematuria [themitralvalve.org]

Congenital Clubbing

There was no edema, clubbing, icterus, lymphadenopathy or sternal tenderness. Thyroid gland was normal. [e-ijd.org]

Breath-Holding Spell

[…] recession Subcostal recession Suprasternal recession Tenderness of respiratory structure Trachea moves down on insp Tracheal breathing Tracheal tug Unable to cough up sputum [icd9data.com]

[…] palpation of chest wall Respiratory quotient abnormal Respiratory symptom Right side of chest moves less than left Rigid chest Sleep-related groaning Soot in oropharynx Sternal [icd9data.com]