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Chest Wall Pain


Presentation

  • A patient who was diagnosed with Tietze's syndrome but was found to have squamous cell carcinoma of the mediastinum with unknown primary site invading the sternum and anterior chest wall is presented for discussion.[ncbi.nlm.nih.gov]
  • Abstract Pain in the chest may be the presenting feature of a diverse number of musculoskeletal chest wall conditions.[ncbi.nlm.nih.gov]
  • Abstract This report highlights the clinical features of two patients who presented with severe neuropathic chest wall pain caused by herniated C6-7 disc, and speculates on the pathophysiology of this syndrome.[ncbi.nlm.nih.gov]
  • BACKGROUND: Chest pain is a common general practice presentation that requires careful diagnostic assessment because of its diverse and potentially serious causes.[ncbi.nlm.nih.gov]
  • We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher. A 30-year-old, left-handed pitcher complained of left-sided chest wall pain in the region of his lower ribs during a game.[ncbi.nlm.nih.gov]
Skin Lesion
  • It is characterized by severe neuropathic pain and sensory disturbances persisting after the resolution of characteristic vesicular skin lesions. Most commonly affected are the thoracic dermatomes.[oxfordmedicine.com]
Neglect
  • Precordial catch, a neglected syndrome of precordial pain. J Am Med Assoc. 1955 Dec 3; 159 (14):1364–1365. [ PubMed ] [ Google Scholar ] Stegman D, Mead BT. The chest wall twinge syndrome.[ncbi.nlm.nih.gov]

Workup

  • Workups performed after symptomatic chloropicrine exposure should include CK-level determination.[ncbi.nlm.nih.gov]
  • We did not interfere with the workup provided by participating GPs. As a result of this, for some patients, only limited clinical data were available to the reference panel.[academic.oup.com]
  • Patients are usually admitted to the coronary care unit (CCU) for observation, further workup, and treatment. Although the function of the heart muscle may be severely affected during the initial phase, recovery is usually complete.[docsopinion.com]
  • […] the emergency department with chest pain. [4] [1] An estimated 50-70% of patients presenting with chest pain in the emergency department will be placed in an observation unit or admitted to the hospital. [1] 2 million people are admitted annually for workup[en.wikipedia.org]
HLA-B27
  • METHODS: The DESIR cohort is a prospective, multicenter French cohort of patients with early IBP suggestive of SpA, including 708 patients (mean age 33.8 yrs, 53.8% females, 57.3% HLA-B27-positive).[ncbi.nlm.nih.gov]

Treatment

  • CONCLUSION: SCS provides an effective, alternative treatment option for select patients with Loeys-Dietz syndrome who underwent repair of pectus excavatum with subsequent chronic chest wall pain who have failed conservative treatment.[ncbi.nlm.nih.gov]
  • CONCLUSION: SCS provides an effective, alternative treatment option for select patients with cancer-related chest wall pain who have failed conservative treatment.[ncbi.nlm.nih.gov]
  • METHODS: We reviewed data from 72 treatment plans, from 69 lung SBRT patients with at least one year of follow-up or CW toxicity, who were treated at our center between 2010 and 2013.[ncbi.nlm.nih.gov]
  • The risk of CW pain may be mitigated by attempting to reduce the relative proportion of CW receiving 30-40 Gy during treatment planning. Copyright 2012 Elsevier Ireland Ltd. All rights reserved.[ncbi.nlm.nih.gov]
  • INTRODUCTION: Tumors invading the chest wall and pleura are often incurable, and treatment is targeted toward palliation of symptoms and control of pain.[ncbi.nlm.nih.gov]

Prognosis

  • When a patient telephones, acutely unwell with chest pain, arrange a 999/112/911 ambulance in advance of (or instead of) visiting, as any delay in starting appropriate treatment has an adverse effect on prognosis.[patient.info]
  • C 16 The Duke treadmill score is recommended to help predict long-term prognosis for patients undergoing stress ECG testing.[aafp.org]
  • Chest pain patients with normal coronary perfusion have an excellent prognosis for survival, and a future risk of cardiac morbidity similar to that reported in the background population [ 7 - 9 ].[ncbi.nlm.nih.gov]
  • The aims of the study are to describe the epidemiology, clinical characteristics and prognosis of CWS and to provide a simple decision rule for diagnosis. Methods.[academic.oup.com]

Etiology

  • Abstract We describe the surgical technique of modified open thoracic rhizotomy for treatment of intractable chest wall pain of malignant etiology.[ncbi.nlm.nih.gov]
  • Epidemiology Frequency United States The exact prevalence of a musculoskeletal etiology for chest pain is not known, although overall prevalence of a musculoskeletal etiology for chest pain was approximately 10% in one study.[emedicine.medscape.com]
  • Cardiac causes of chest pain are managed according to the specific etiology. Please complete the following questions toc return to top previous page next page[utmb.edu]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]

Epidemiology

  • The aims of the study are to describe the epidemiology, clinical characteristics and prognosis of CWS and to provide a simple decision rule for diagnosis. Methods.[academic.oup.com]
  • Epidemiology Frequency United States The exact prevalence of a musculoskeletal etiology for chest pain is not known, although overall prevalence of a musculoskeletal etiology for chest pain was approximately 10% in one study.[emedicine.medscape.com]
  • Epidemiology Epidemiological studies of chest pain, in particular the risk of pain being cardiac in nature, vary according to setting.[patient.info]
  • A 31 The epidemiology of chest pain differs markedly between outpatient and emergency settings.[aafp.org]
  • […] however, this treatment has not been the subject of study by rigorous randomized controlled trials and its practice is currently based on clinical experience. [24] Rest from stressful physical activity is often advised during the recovery period. [4] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Abstract This report highlights the clinical features of two patients who presented with severe neuropathic chest wall pain caused by herniated C6-7 disc, and speculates on the pathophysiology of this syndrome.[ncbi.nlm.nih.gov]
  • Pathophysiology Costochondritis is an inflammatory process of the costochondral or costosternal joints that causes localized pain and tenderness. Any of the 7 costochondral junctions may be affected, and more than 1 site is affected in 90% of cases.[emedicine.medscape.com]

Prevention

  • Early treatment shortens the duration of acute HZ and may prevent the onset of PHN. A variety of modalities are utilized to treat PHN, including chemical compounds, interventional pain techniques, and neuromodulation.[oxfordmedicine.com]
  • You will also likely be referred to a cardiologist for preventive heart care .[verywellhealth.com]
  • Home remedies The following home remedies may prevent or relieve symptoms of nerve compression syndrome: icing the affected area for 10 to 15 minutes applying topical creams, such as menthol stopping activities that cause pain taking regular breaks when[healthline.com]
  • Dr Peeyush Jain, Head, Department of Preventive Cardiology, Fortis-Escorts Heart Institute, New Delhi, tells you the difference. Chest discomfort/chest pain, also known as angina, is a major symptom of heart disease.[indiatoday.in]
  • If the pain is due to a myocardial infarction, treatment within the first six hours may help prevent further damage to the heart muscle. Pain in any part of the chest may include problems with the heart, lungs, esophagus, muscle, bone, or skin.[fortherecordmag.com]

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