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Chest pain in Pediatrics
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Transcript
Chest Pain in Children
Haytham Baho MD FAAP FACC CPHQ
Head, Section of Pediatric Cardiology
King Faisal Specilaist Hospital & research center
Risk Factors for Cardiac Disease
Cardiac
History of Congenital Heart disease or Cardiac Surgery
Radiating pain
Associated presyncope or syncope
H/O Kawasaki disease or COVID-19
Abnormal HR or BP
Drug use /abuse
Any Abnormalities or a possibility of a cardiac cause
DDx
ECG , CXR , Enzymes +/- Echo
Workup
Cardiology Consult
Pulmonary risk factors
Pulmonary
Recent surgery
Neoplasm
Hypercoagulability
Central line
Heamoptysis
Hypoxia
Any Pulmonary signs or symptoms ( chest wall tenderness )
DDx
Workup
Chest X ray
V/Q scan
CT scan
ECG
Trial of Ventolin
GI risk factors
GI
Related to eating
Abdominal tenderness
Phsychosomatic
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