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Costochondritis — RACP Paediatrics MCQ

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EasyCardiologyCostochondritisRACP Paediatrics

A 14-year-old boy presents with sharp left-sided chest pain that worsens with deep breathing and palpation. He recently started weight training. Heart rate and ECG are normal. There is point tenderness over the costochondral junctions. What is the most likely diagnosis?

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Correct answer: E — Musculoskeletal (costochondritis)

Musculoskeletal chest pain (including costochondritis) is the most common cause of chest pain in children and adolescents. Point tenderness over the costochondral junctions that is reproducible on palpation and associated with physical activity supports this diagnosis.

Reference: RCH Melbourne – 2023 – Chest Pain CPG; RACP Paediatric Curriculum – Cardiology