Costochondritis

WHAT IS IT?

Costochondritis refers to inflammation of the and/or chondrosternal joints of anterior chest wall.

Source 
WHAT CAUSES IT?

Joint aggravation can occur as a result of physical activity (such as exercise) which can be responsible for costochondritis. 

WHY IS IT CONCERNING MEDICALLY?

 

WHAT IS THE INTIAL PRESENTATION?

Patient Chief Complaints:

  • Chest pain: 

Detected Medical Problems:

 

WHAT ARE IMPORTANT ELEMENTS OF THE MEDICAL HISTORY?

Risk Factors:

 

Medical History:

 

WHAT ARE IMPORTANT FEATURES OF THE PHYSICAL EXAM?

Vital Signs:

 

Musculoskeletal Exam:

  • Sternal tenderness to palpation is often present. 
CLINICAL WORKUP: SERUM STUDIES

Troponin will be negative in these patients. 

CLINICAL WORKUP: IMAGING

Chest X-Ray is often obtained in patients with chest pain. It will be unremarkable in this condition. 

CLINICAL WORKUP: OTHER

Electrocardiogram: this study is often obtained in patients with chest pain. It will be unremarkable in this condition. 

HOW DO WE NARROW THE DIFFERENTIAL?

Conditions that present similarly and how to exclude them:

 

WHAT IS OUR THRESHOLD FOR DIAGNOSING THIS CONDITION?

 

PATIENT MANAGMENT: SYMPTOM RELEIF

 

PATIENT MANAGEMENT: DISEASE TREATMENT

 

PATIENT MANAGEMENT: PROPHYLACTIC MEASURES

 

COULD THIS HAVE BEEN PREVENTED?

 

ARCHIVE OF STANDARDIZED EXAM QUESTIONS 

This archive compiles standardized exam questions that relate to this topic.

 

Page Updated: 02.23.2017