Clinic reporting chest pain

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Reference no: EM133753359

Question

Thirteen-year-old Jason comes to the clinic reporting chest pain. Jason's younger brother has a heart murmur, his paternal grandfather died of a sudden heart attack at age 53, and his dad takes medication for high cholesterol. The pain started a couple of weeks ago, although Jason just told his dad last night. Jason's dad is very concerned that it might be his heart causing the chest pain. Jason says the pain comes and goes, is worse when he coughs, is located on the left side of his chest, and does not radiate. Jason denies fever or cold symptoms, new activities in gym class, or weight lifting. He takes no routine medications and has taken nothing for chest pain. Jason has no other medical conditions. On physical examination, his vital signs are normal, his cardiac exam is normal, no murmurs, regular rhythm, and all pulses are equal. The rest of the exam is negative except for pain to palpation on the 4th to 6th ribs left of the sternum. You complete and EKG and it is normal. Discuss your likely diagnosis and treatment plan with the patient and his parent.

Reference no: EM133753359

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