Answer:USMLE step 2 Mcq 197:A 14-year-old boy scout complains of exercise-induced sharp chest pain at the left lower sternal border that diminishes with resting and does not awaken him




Correct Answer: E

To diagnose costochondritic pain one may palpate the fingers up the ribs alongside the sternum or compress or lift the rib cage. This would elicit chest wall pain. Chest wall problems and GI causes account for over 90% of the chest pain primary care physicians see.


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