Anterior chest wall pain and tenderness of the costochondral and costosternal regions, most often affecting the 2nd to the 5th costal cartilages
System(s) affected: musculoskeletal
Syn...
Pain is usually sharp, achy, or pressure-like, involving multiple (and mostly unilateral 2nd to 5th) costal cartilages.
Exacerbated by upper body movements and exertional activities
Reproduced...
Rest and heat (or ice) massage
Stretching exercises
Minimize symptom-provoking activit...
Educate regarding the self-limited (although...
64109004 Costalchondritis (disorder)
30128009 Tietze’s disease
A common disorder, accounting for up to 30% of all cases of chest pain
Diagnosis is primarily clinical. Lab and other testing is done to exclude other conditions based on patient risk.
S...
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<bold>Figure 24-7. Pathogenesis of acutecoronary syndromes. A.</bold> A normal coronary artery has an intact endothelium surrounded by smooth muscle cells. <bold>B.</bold> Endothelial cell activation or injury recruits monocytes and T lymphocytes to the site of injury, leading to development of a fatty streak. <bold>C.</bold> Continued oxidative stress within a fatty streak leads to development of an atherosclerotic plaque. <bold>D.</bold> Macrophage apoptosis and co...
<bold>Figure 24-7. Pathogenesis of acutecoronary syndromes. A.</bold> A normal coronary artery has an intact endothelium surro...