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Doctor insights on: Sternal Angle

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What are causes for sternum to hurt... or the sternal angle?

What are causes for sternum to hurt... or the sternal angle?

Heartburn: Hyperacidity can cause pain in the upper stomach opening causing pain under the sternum, other several reasons like stress and such are common too. ...Read more

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What are some reasons for sternal pain?

What are some reasons for sternal pain?

Usually Musculoskele: Sternal pain is usually musculoskeletal. If you are concerned with "chest pain", call 911 immediately. Ms CP is usually due to inflammation of the cartilage attaching the ribs to the sternum. This itreated with posture, heat or ice, anti-inflammatories like Ibuprofen and rest. If continued, see your pcp for further evaluaiton and treatment. ...Read more

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Could a sternal rub potentially cause costochondritis?

Could a sternal rub potentially cause costochondritis?

Yes: Any rubbing, stretching, or trauma to the rib region can injure these muscles. ...Read more

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What would be the cause of mid lower sternal discomfort with a slight radiation to the right?

What would be the cause of mid lower sternal discomfort with a slight radiation to the right?

High Acid: High gastric acid is on the top list as I could see you are taking sulindac. Please try Prilosec otc and if this does not get better, then you want to see a doctor. ...Read more

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Pinching, pinpoint sternal chest pain. Localized and pain level fluctuates between a 6 and 9 on pain scale. Has lasted a month?

Pinching, pinpoint sternal chest pain. Localized and pain level fluctuates between a 6 and 9 on pain scale. Has lasted a month?

Arthritis: You may have an inflamed joint where your rib bone connects to the sternum (breast bone). However, any type of chest pain should be evaluated by your physician, to make sure it isn't your heart. ...Read more

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I was wondering are sternal lymph nodes located under the ribs?

I was wondering are sternal lymph nodes located under the ribs?

Under the breastbone: Lymphatic system absorbs/carries things too big to go into the arteries/veins like bacteria eaten by white cells and digested food. Lymph nodes "taste" the lymph for anything bad like bacteria/viruses/cancers, etc. When it detects a problem, it alerts the immune system and your body reacts. They enlarge in response to the inflammation they create when they react. They shrink when all is well. ...Read more

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What can cause a palpable pulse in the supra sternal notch of an 18 year old?

What can cause a palpable pulse in the supra sternal notch of an 18 year old?

Blood vessel: Could be a high riding subclavian artery or possiblly a vascular malformation or aneurysm. Best to see your physician for an exam. ...Read more

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2wk s/p MVC, CXR in ED neg, now w/worsening sternal pain, worse when bending or laying down, no SOB only pain w/deep breath, should I be concerned?

2wk s/p MVC, CXR in ED neg, now w/worsening sternal pain, worse when bending or laying down, no SOB only pain w/deep breath, should I be concerned?

U may have injured.: ..either the xyfoid or even have a small compression fracture of the sternum or injured the articular cartilages at the level of the attachments 2 the sternum. These will not show up on x-rays. A CT can show a fracture, but usually there is no treatment, especially if a 1 cortex compression. Same with the sprained attachments @ the sternum. Ice NSAIDS, rest activity modification & tincture of time ...Read more

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Only when lying on left side I notice a pulsation between Sternal Head and between Jugular Notch on the right side only Normal Venous Pulsation?

Only when lying on left side I notice a pulsation between Sternal Head and between Jugular Notch on the right side only Normal Venous Pulsation?

Venous pulse: Need to know what you mean by notice? Do you feel it or hear it or see it. And not clear if you see a normal venous pulsation or are asking if this is normal? ...Read more

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A 60 year old man has discomfort/pain when swallowing in the sternal notch area. It started abowut 1 month ago. Could you please give me the possible?

A 60 year old man has discomfort/pain when swallowing in the sternal notch area. It started abowut 1 month ago. Could you please give me the possible?

Swallow difficulty: May be GERD w/ or without h pylori, , or infeciton in esophagus like candida or stricture can be evaluated with EGD where they look down esophagus w/ scope. May also be achalasia -spasm/ irregular perastalsis (the movement that pushes food along) rarely stroke, mass lesion. Get CT chest, thyroid ultrasound F/u/ w/ doc and gastroenterologist ...Read more

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Could you explain what is a "sternal congenital malformation"?

Could you explain what is a "sternal congenital malformation"?

Abnormal sternum: "sternal congenital malformation" could be any abnormal formation or form of the sternum. For example "pectus excavatum" is an abnormal formation of the rib cage that gives the chest a caved-in or sunken appearance. The sternum itself can also have prominences or clefts. ...Read more

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There's a sharp pain when I inhale near my sternal notch. It comes & goes.

There's a sharp pain when I inhale near my sternal notch. It comes & goes.

Costochondritis: Near the stern all notch is some what a vague term however if the area you mean is along the border of the sternum then the probable cause of your pain is inflammation of the joint where the rib goes into the sternum. This area is a costochondral joint. As breathing occurs these type of areas move and if inflamed will e painful as you describe. ...Read more

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If sternal debridement is performed on the sternum do they have to leave it open and do you have to wear a wound vac?

If sternal debridement is performed on the sternum do they have to leave it open and do you have to wear a wound vac?

Many options: If the sternum was debrided due to infection, then yes, it has to be left open to heal from the bottom up. Using suction therapy (vac is just one brand) is an excellent way to help large/deep open wounds heal but the infection must be treated first by removing the infected, non-healing tissue and then antibiotics directed specifically at the bacteria that caused the problems. Wound consult helps. ...Read more

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So lately I've noticed that I have a fairly prominent palpable pulse in my supra-sternal notch. I can sometimes even see it throbbing in the mirror.

So lately I've noticed that I have a fairly prominent palpable pulse in my supra-sternal notch. I can sometimes even see it throbbing in the mirror.

Worth a check: If you look at very fit men, perhaps the track team members, you'll see others who are like you. Your physician can tell you whether this is your aortic or your venous pulse. One unlikely thing to rule out is a thoracic aortic aneurysm. If your cardiac exam is otherwise normal and you feel well, i'd not be concerned. ...Read more

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Having a goiter that has grown over years could be sub sternal thyroid?

Having a goiter that has grown over years could be sub sternal thyroid?

Possibly: It could be or it could just be an enlarging goiter. A thyroid u/s is the first test to evaluate this. Other tests can follow but you usually will know the seriousness of this with a thyroid ultrasound. Good luck. ...Read more

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