Chest pain in pediatric patients requires careful physical examination and a detailed history that would indicate the possibility of a serious cause.

Generally, muscular skeletal pain, which includes costochondritis, is the reason for the emergency department visit.

Pain that is felt in the chest but is due to muscular skeletal inflammation or an unknown cause and accounts for 7% and 69% visits.

Muscular skeletal pain is described and defined differently as a diagnosis of exclusion or is documented as being associated with idiopathic causes.

This pain often awakes them from sleep or presents with fever or abnormal observations found during the physical examination.

[1] Children can present with chest pain can have a sudden onset related to vigorous physical activity and coughing.

If an obvious cause of the chest pain is not readily apparent, testing may begin with an x-ray and an electrocardiogram .

The median age pediatric patients that complain of pain is from 12 to 13 years old both males and females display the symptoms and signs at approximately the same ratio.

A small study in Turkey evaluated patients and found that 59% complained of pain that they had had for more than one month in duration.

[4] Part of effective treatment includes obtaining a detailed medical history,[2] an important step that is frequently absent in emergency department visits and connected with hospitalization prevention.