A 17-Year-Old Male Subject With Chest Pain, Worsening Dyspnea, and a Rare Complication

Angi, Alessia; Papa, Simone Sferrazza; Pillo, Sabrina Di; Chiarelli, Francesco; Attanasi, Marina

doi:10.1016/j.chest.2019.11.062

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Pulmonary system-related chest pain is also not highly prevalent, accounting for 1.82–12.78% [ 1 , 9 , 12 , 14 , 15 , 16 , 17 , 31 ], with common causes including pneumothorax, asthma, pneumonia, and the less common pneumomediastinum [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. Some of these diseases can be potentially life-threatening, such as tension pneumothorax.…”

Section: Etiology Of Chest Pain In Children and Adolescentsmentioning

confidence: 99%

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Huang,

Liu

2024

Diagnostics

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Pediatric chest pain is a common chief complaint in the emergency department. Not surprisingly, children with chest pain are usually brought to the emergency department by their parents out of fear of heart disease. However, chest pain in the pediatric population is generally a benign disease. In this review, we have identified musculoskeletal pain as the most prevalent etiology of chest pain in the pediatric population, accounting for 38.7–86.3% of cases, followed by pulmonary (1.8–12.8%), gastrointestinal (0.3–9.3%), psychogenic (5.1–83.6%), and cardiac chest pain (0.3–8.0%). Various diagnostic procedures are commonly used in the emergency department for cardiac chest pain, including electrocardiogram (ECG), chest radiography, cardiac troponin examination, and echocardiography. However, these examinations demonstrate limited sensitivity in identifying cardiac etiologies, with sensitivities ranging from 0 to 17.8% for ECG and 11.0 to 17.2% for chest radiography. To avoid the overuse of these diagnostic tools, a well-designed standardized algorithm for pediatric chest pain could decrease unnecessary examination without missing severe diseases.

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Section: Etiology Of Chest Pain In Children and Adolescentsmentioning

confidence: 99%

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Huang,

Liu

2024

Diagnostics

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“…A single case report described the presence of multiple hyperechoic artifacts among the intercostal fascial planes in a 17-year-old boy with pneumomediastinum (PNM) [61]. The integration of LUS with cervical ultrasonographic assessment could be useful to rule out PNM in children with acute chest pain.…”

Section: Lus In Bronchiolitis Pneumothorax and Other Paediatric Respiratory Diseasesmentioning

confidence: 99%

Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases

et al. 2021

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Respiratory infection diseases are among the major causes of morbidity and mortality in children. Diagnosis is focused on clinical presentation, yet signs and symptoms are not specific and there is a need for new non-radiating diagnostic tools. Among these, lung ultrasound (LUS) has recently been included in point-of-care protocols showing interesting results. In comparison to other imaging techniques, such as chest X-ray and computed tomography, ultrasonography does not use ionizing radiations. Therefore, it is particularly suitable for clinical follow-up of paediatric patients. LUS requires only 5–10 min and allows physicians to make quick decisions about the patient’s management. Nowadays, LUS has become an early diagnostic tool to detect pneumonia during the COVID-19 pandemic. In this narrative review, we show the most recent scientific literature about advantages and limits of LUS performance in children. Furthermore, we discuss the major paediatric indications separately, with a paragraph fully dedicated to COVID-19. Finally, we mention potential future perspectives about LUS application in paediatric respiratory diseases.

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A 17-Year-Old Male Subject With Chest Pain, Worsening Dyspnea, and a Rare Complication

Cited by 2 publications

References 14 publications

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Pediatric Chest Pain: A Review of Diagnostic Tools in the Pediatric Emergency Department

Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases

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