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

We report a rare case of a 27-year-old Asian female presenting with simultaneous brown tumours in the maxilla and mandible secondary to vitamin D deficiency which was a result of dietary deficiency and lack of exposure to sunlight. [ncbi.nlm.nih.gov]

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

Session 2 of the 2007 Workshop of the Society for Hematopathology/European Association for Haematopathology was focused on Philadelphia chromosome-negative chronic myeloproliferative diseases (Ph- MPDs), recently termed chronic myeloproliferative neoplasms. The presented and submitted cases highlighted some[…] [ncbi.nlm.nih.gov]

Ankylosing Spondylitis

1 Recommendations 1.1 Secukinumab is recommended, within its marketing authorisation, as an option for treating active ankylosing spondylitis in adults whose disease has responded inadequately to conventional therapy (non-steroidal anti-inflammatory drugs or TNF‑alpha inhibitors). The drug is recommended only if the[…] [nice.org.uk]

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 (CML), also known as chronic myelogenous leukemia, is the most common myeloproliferative disorder. Most of patients with chronic myelogenous leukemia are diagnosed in the chronic phase and then progress to the accelerated and blast phases in 3 to 5 years. The diagnosis of chronic myeloid[…] [symptoma.com]

Multiple Injuries

Abstract The causes of commonly occurring diagnostic oversights in the multiple injured patient are reviewed. A systematic approach to the multiple injured or unconscious patient is offered which includes a standard series of radiographs, "a trauma survey", and knowledge of commonly associated injuries. The[…] [ncbi.nlm.nih.gov]

Polycythemia Vera

Practice Essentials Polycythemia vera (PV) is a stem cell disorder characterized as a panhyperplastic, malignant, and neoplastic marrow disorder. Its most prominent feature is an elevated absolute red blood cell mass because of uncontrolled red blood cell production. This is accompanied by increased white blood cell[…] [emedicine.medscape.com]

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

Leuk Res. 2012 Sep;36(9):1147-51. doi: 10.1016/j.leukres.2012.04.021. Epub 2012 May 11. Cherington C 1, Slack JL, Leis J, Adams RH, Reeder CB, Mikhael JR, Camoriano J, Noel P, Fauble V, Betcher J, Higgins MS, Gillette-Kent G, Tremblay LD, Peterson ME, Olsen JJ, Tibes R, Mesa RA. Author information 1 Department of Internal[…] [ncbi.nlm.nih.gov]

X-Linked Hypophosphatemia

BACKGROUND: X-linked hypophosphatemia (XLH) is the most common heritable form of rickets and osteomalacia. XLH-associated mutations in phosphate-regulating endopeptidase (PHEX) result in elevated serum FGF23, decreased renal phosphate reabsorption, and low serum concentrations of phosphate (inorganic[…] [ncbi.nlm.nih.gov]

Familial Hypophosphatemia

Familial hypophosphatemia is a term encompassing a group of genetic diseases that impair homeostatic pathways of phosphate in the body. Bone pain, fatigue, myopathy, as well as growth and dental abnormalities are usually encountered, whereas cardiac and pulmonary failure may ensue in severe cases. Patient history,[…] [symptoma.com]

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]

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]

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]

Hereditary Elliptocytosis 2

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

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]

Retroperitoneal Hematoma

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

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]

Congenital Clubbing

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

Chest Wall Injury

The sternum Sternal fractures Fractures of the breastbone tend to be the result of direct high-energy trauma. [sportsinjurybulletin.com]

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

Tenderness is localised over the costal margin and diagnosis is confirmed by CT. In recalcitrant cases surgery may be needed (1). [sportsinjurybulletin.com]