The pain of costochondritis typically ____
A. Mimics cardiac crushing and squeezing pain
B. Worsens with movement and full inspiration
C. Radiates from epigastrium into the back
D. Is a tearing and ripping pain
ANS: B
Costochondritis, which is inflammatory pain of the chest wall, can often be differentiated from cardiac pain through history. A history of injury, heavy lifting, contact sports, excessive coughing, or late-stage pregnancy (which stretches the intercostal muscles) leads the examiner to consider chest wall pain. This often occurs in a younger population with no cardiac risk factors. One of the most helpful differentiating symptoms is that the pain is increased with movement, cough, or, in some cases, respiration.
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