الفهرس 
ContentsOnly 14 pages are availabe for public view
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Abstract
Chest pain with associated symptoms occurred in 210 patients (53%) complaining of chest pain in our study .Cough was the most frequent associated symptom , followed by fever, palpitation, anxiety , drug abuse , smoking and syncope . Evaluation of medical history, past history and family history of cases with chest pain in our study demonstrated 67(16.7%) cases had past medical history of disease such as cardiac disease, pulmonary disease and sickle cell disease and 51(12.7%) cases had family history of medical disease such as cardiac disease and asthma. General examination done for all cases and detected tender chest wall ,lower limb edema , rash and cyanoses .Majority of cases had no abnormality .Also cardiac examination and chest examination were done for all cases attending Assuit University Children Hospital complaining of chest pain and detected pathological murmur , systolic click , accentuated second heart sound , gallop rhythm , adventious sound in chest and decrease air entry . Majority of cases had normal cardiac examination .Only48 (12%) cases had abnormal cardiac examination .Also chest examination was normal for majority of cases while 69 (17.2%) cases had abnormal chest examination. In this study, investigation was done when indicated So CBC, chest X rays, ECG and echocardiography were done when needed. In this study we found myositis ,costochondritis and trauma as the most frequent causes of musculoskeletal chest pain .Also asthma , pneumonia, pleural effusion, empyma , pulmonary embolism and pneumothorax were the most frequent pulmonary causes of chest pain and rheumatic heart disease , cardiomyopthy , postoperative closure of anatomical defect and pericardial effusion as the most frequent cardiac causes of chest pain. Recommendations Recommendations While guidelines not specific to chest pain were considered ,in every case presented with chest pain, it must be evaluated as the following Taking a detailed history and full physical examination that will be a good guide in diagnosing the etiologies and discovering life-threatening disorders or suspicion of cardiac disorder. The laboratory tests are not generally helpful in establishing a specific diagnosis for chest pain; and must be kept help to identify possible organic causes. Evaluation of pediatric chest pain is often extensive therefore targeted testing can reduce resource use and lead to more cost-effective care.