Costochondritis — RACP Paediatrics MCQ

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EasyCardiologyCostochondritisRACP Paediatrics

A 12-year-old presents with chest pain that is sharp, worse on inspiration, and not related to exertion. It reproduces with palpation over the costochondral junctions. ECG and CXR are normal. What is the most likely diagnosis?

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Correct answer: D — Costochondritis

Costochondritis is the most common cause of chest pain in children and adolescents. It is musculoskeletal in nature, reproducible on palpation of the costochondral junctions, and exacerbated by breathing or movement. No investigation is required if the history and examination are typical. Reassurance is the mainstay.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Chest Pain in Children