Costochondritis

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Costochondritis
• Reassuring cardiac and lung exam with pain reproduced on palpation of the chest wall
• No pain with exercise, fainting, palpitations, shortness of breath, or fever
• Consistent with costochondritis given a typical history and exam
• No ECG or chest x-ray needed given a typical exam
• Reassured that the pain is not coming from the heart
• Recommended motrin as needed for pain
• Heat or ice to the chest wall
• Rest from activities that worsen the pain, such as heavy lifting and push-ups
• Follow up if worsening or not improving

Costochondritis is irritation where the ribs join the breastbone; it is not related to the heart or lungs, it goes away on its own, and it can come back from time to time. Recommended supportive care with motrin as needed and heat or ice, with an emphasis on rest from activities that make it worse. Return precautions given including chest pain with exercise, fainting, a racing heartbeat, shortness of breath, fever, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Reassuring cardiac exam, pain reproduced on palpation
Exertional pain, syncope, palpitations, dyspnea, fever present or absent
Consistent with costochondritis vs needs evaluation
No testing; ECG; chest x-ray
Motrin, heat or ice, activity modification

Return precautions in the template

chest pain with exercisefaintinga racing heartbeatshortness of breathfever

Sources

Few formal guidelines cover this topic, so the template also leans on expert opinion.