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Doctor insights on: Sternal Notch

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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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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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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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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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Hi, I have a lump in my sternal notch that is pretty firm. Ultrasound says "may" be a lipoma, watch for interval growth. Its bigger. Thoughts?

Hi, I have a lump in my sternal notch that is pretty firm. Ultrasound says "may" be a lipoma, watch for interval growth. Its bigger. Thoughts?

Doubt it: lipoma are usually soft specially in this location It is hard for me to say it is not without feeling it or seeing it. I am depending on the location and description. there is higher possibility that it is part of the sternum than it is a lipoma. any way if it is too visible or causing you a problem you can ask to have it removed. ...Read more

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8mm well circumscribed hyperechoic mass in sternal notch, slightly mobile, firm, growing. Possible lymph node?? Tech thought node, doc thinks lipoma??

8mm well circumscribed hyperechoic mass in sternal notch, slightly mobile, firm, growing. Possible lymph node?? Tech thought node, doc thinks lipoma??

Prob lipoma.: An ultrasound can see the difference between a lymph node and a lipoma. So if the doctor (radiologist) said lipoma, it's a lipoma. Even so, if it keeps growing, it's best to have it biopsied. Some tumors, like liposarcomas, can masquerade as lipomas because they are made of fat. Any lump that continues to grow eventually needs a biopsy. I hope that helps! ...Read more

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I have a persistent tightness in my throat slightly superior to the supra sternal notch. Skin around notch tender if pressed. Anxiety?

I have a persistent tightness in my throat slightly superior to the supra sternal notch.  Skin around notch tender if pressed.  Anxiety?

Maybe, but may not: Your anxiety may be cause by your physical tightness and notch tender that may be cause by organic condition. You must consult and be examined by a Throat Specialist (ENT). ...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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Cardiologist said Aneurysm External and Internal Carotid very rare in Neck and rare inside Sternal Head andJugular Notch No Ultrasound Needed ?True?

Cardiologist said Aneurysm  External and Internal Carotid  very rare in Neck and rare inside Sternal Head andJugular Notch No Ultrasound Needed ?True?

Carotid thoughts: I assume there are no symptoms. Aneurysms are rare but do occur. See: http://www.sciencedirect.com/science/article/pii/S0741521400498800 Why not instead worry about garden variety plaque/stenosis in a 49 yo and try for a screening carotid U/S? No harm in a screening U/S, but may not be so available in the UK. Would advise if a signif. history of smoking or family history of vascular disease. ...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