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, local application of heat (or ice), massage
Stretching exercises
Minimize sympto...
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. Obtain lab and other testing to exclude other conditions based on patient risk.
Se...
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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...