-Vital signs are hemodynamically appropriate
-It is important to rule out potentially deadly underlying causes of pediatric chest pain including acute coronary syndrome, hypertrophic cardiomyopathy, pneumomediastinum, pneumothorax, pneumonia, aortic dissection, aortic root dilation, pulmonary embolism.
-Denies shortness of breath, palpitations, fever, chills, exertional chest pain, pleuritic chest pain, radiation of the left shoulder/jaw, or severe/tearing pain. Denies acid reflux or pain with palpation of chest wall.
-EKG should be obtained in pediatric patients with chest pain when a noncardiac disorder (costochondritis, GERD, viral URI) cannot be definitively diagnosed
-Chest x-ray is recommended if patient is having respiratory distress, pleuritic chest pain, murmurs, rales, hypoxia, or tachypnea
-An echocardiogram should be obtained if there is exertional chest pain or exertional syncope, chest pain with fever, history of heart disease such as heart transplant or Kawasaki disease, family history of significant cardiopulmonary abnormalities, murmur, or an abnormal EKG
Result - Copy and paste this output: