<unk>  is usually evaluated in the emergency departments. It can be distressing for parents and children. Pediatric<unk> <unk>  differs from<unk> <unk>  in adults because it is most often unrelated to the heart. The causes of pediatric<unk> <unk>  vary according to the organ or tissue in the child. that generates the<unk> . Generally, muscular skeletal<unk> , which includes costochondritis, is the reason for the emergency department visit.<unk>  that is felt in the<unk>  but is due to muscular skeletal inflammation or an unknown cause and accounts for 7% and 69% visits. Muscular skeletal<unk>  is described and defined differently as a diagnosis of exclusion or is documented as being associated with idiopathic causes. Asthma and other respiratory symptoms are the second most common presentation. Respiratory associated causes compose 13% to 24% of pediatric<unk> <unk>  symptoms. Gastrointestinal and psychogenic symptoms reported by parents and patients occur less than 10% of the time. Cardiac causes of pediatric<unk> <unk>  are found infrequently and are not identified more than 5% of the time. Unknown causes, were estimated to account for 20% to 61% of the final diagnosis given. Patients who receive a diagnosis of cardiac disease are more apt to have acute<unk> . This<unk>  often awakes them from sleep or presents with fever or abnormal observations found during the physical examination. Trauma can also be a cause for<unk> <unk>  and has been found to be associated with the<unk>  in 5% of the patients. Children can present with<unk> <unk>  can have a sudden onset related to vigorous physical activity and coughing. These symptoms seem to be closely associated with asthma. Infection with Haemophilus influenzae can cause<unk> <unk> . Preliminary Since most causes of pediatric and adolescent<unk> <unk>  are not considered life-threatening, parents and their children are often reassured that in the majority of cases, the cause of the<unk>  can be determined. If the child or adolescent appears to have some dehydration, and intravenous line along with administration of saline is done. The clinician may or may not decide to perform diagnostic testing . This is especially true if the child or adolescent has symptoms of chronic<unk> . If an obvious cause of the<unk> <unk>  is not readily apparent, testing may begin with an x-ray and an electrocardiogram . This helps the clinician to determine whether or not the cause of<unk>  is related to pulmonary or cardiac causes. Some preliminary diagnosis include: * bruising and<unk> <unk>  could be from unrecognized trauma * an abnormal abdominal examination may be related to a possible gastrointestinal condition with<unk>  referred to the<unk> . * abnormal blood pressure measurements suggests to the clinician that dehydration may be present and related to cardiac insufficiency * heart sounds such as heart murmur, rub, arrhythmia may indicate to a condition of the heart * the<unk>  may be related to a chronic illness and may be part of a serious condition such as systemic lupus erythematosus or Hodgkin lymphoma * pleural effusion and<unk> <unk>  may be related to arthritis * decreased breath sounds or wheezing can be suggestive of asthma or the fatigue of<unk>  wall muscles * subcutaneous emphysema can be felt by the clinician indicating a pneumomediastinum or pneumothorax * tenderness of the costochondral junctions or the wall of the<unk>  is suggestive of musculoskeletal or costochondritis<unk>
Chest pain in children
Allergies in children
Pain in babies
Sudden cardiac death of athletes
Risk factors for tuberculosis
Multisystem inflammatory syndrome in children
Diabetes and deafness
Constipation in children