Question

The baby was found to have a diaphragmatic hernia during a CT scan at five months old. Unfavorable symptoms were discovered when the child had a bulge in the chest at four months. Previous rescue situation and effects: No treatment was received. Needed assistance: I would like to know how to treat and what precautions should be taken.

Answer

Chest pain is a common emergency department symptom, usually caused by chest diseases, and the severity of chest pain does not necessarily correlate with the cause of the pain. For example, shingles can cause severe chest pain, while chest pain from acute myocardial infarction may not be very severe. Therefore, patients with chest pain should be carefully examined to find the cause of the pain. (1) Characteristics and features of chest pain:

  1. Characteristics of chest pain: Chest wall disease-related chest pain is localized, and there may be redness, swelling, tenderness, rash, or deformity in the regional area.
  2. Nature of chest pain: Chest pain caused by intercostal neuritis is intermittent and lancinating. Esophagitis causes burning pain. Rupture-like pain is often seen in dissecting aneurysms.
  3. Location of chest pain: Pain behind the sternum is common in angina pectoris. Pain in the left anterior chest may also be angina pectoris, myocardial infarction, or left-sided pneumonia. Chest pain that radiates to the left shoulder is often angina pectoris. (2) Common diseases that cause chest pain:
  4. Pleural diseases: Such as pleurisy and spontaneous pneumothorax, these diseases cause chest pain related to breathing and coughing.