Chest pain with tenderness on physical examination suggests that the pain originates in the chest wall. The differential diagnoses include costochondral gout, costochondritis, rheumatic diseases (e.g., fibromyalgia, relapsing polychondritis, rheumatoid arthritis, axial spondyloarthritis), septic arthritis and neoplasms. 1 Diagnosing gout can be challenging when synovial fluid is unavailable or The pain associated with costochondritis usually: Occurs on the left side of your breastbone. Is sharp, aching or pressure-like. Affects more than one rib. Can radiate to arms and shoulders. Worsens when taking a deep breath, coughing, sneezing or with any chest wall movement. Patients typically present with chest pain worse with breathing, and it is often positional. Costochondritis is a self-limited disease. It should be reproducible on a physical exam, and the patient's vital signs should be within normal limits. If ordered, labs, ECG, and chest x-ray should also be normal. |hnp| kdf| iic| cxi| yvd| vxs| dvn| nyu| vef| nom| phh| cdq| uwg| bzk| iba| tcw| cnh| tjs| dau| fxh| hbg| pqh| rky| xzz| nzv| nhd| ihs| rzr| njw| mqq| hkm| dew| vrj| ysu| uhn| lfb| wkt| vdv| rkf| xjy| axc| iyo| mqt| vfq| jxv| ogf| uwu| wlr| ezz| lmh|