Is Retrosternal the same as Substernal?

Is Retrosternal the same as Substernal?

A substernal goiter, also known as a retrosternal goiter, is an enlarged thyroid gland that grows inferiorly and passes through the thoracic inlet into the thoracic cavity. A substernal goiter is generally defined as a thyroid mass that has 50% or more of its volume located below the thoracic inlet.

Is epigastric an abdominal?

Epigastric pain is pain that is localized to the region of the upper abdomen immediately below the ribs. Often, those who experience this type of pain feel it during or right after eating or if they lie down too soon after eating. It is a common symptom of gastroesophageal reflux disease (GERD) or heartburn.

What should I do if I have a crushing substernal chest pain?

Classic & Atypical ACS Classic angina presents with substernal chest pain that’s described as “squeezing” or “pressure-like.” It often radiates to the arms or jaw and is made worse by exertion or emotion and made better by rest or nitroglycerin.

Why is it called the epigastric region?

In anatomy, the epigastrium (or epigastric region) is the upper central region of the abdomen. It is located between the costal margins and the subcostal plane. Pain may be referred to the epigastrium from damage to structures derived from the foregut….

What is an epigastric mass?

Stomach cancer can cause a mass in the left-upper abdomen in the stomach area (epigastric) if the cancer is large. Uterine leiomyoma (fibroids) can cause a round, lumpy mass above the pelvis in the lower abdomen (sometimes can be felt if the fibroids are large). Volvulus can cause a mass anywhere in the abdomen.

What is a substernal thyroidectomy?

Substernal (or retrosternal) thyroidectomy is the surgical treatment of retrosternal goiters. Retrosternal (or intrathoracic, or substernal, or mediastinal) goiters are defined by deSouza and Smith as thyroid goiters, more than 50% of which are located below the thoracic inlet and into the mediastinum.

What causes epigastric?

Common causes include acid coming back up from your stomach, allergies, infection, or chronic irritation from medications. If you don’t treat it, over time esophagitis can eventually lead to scarring on your esophagus lining. Common symptoms of esophagitis include: burning in your chest or throat.

How do you treat substernal chest pain?

Treatment often includes OTC medications such as Pepcid but your doctor might prescribe:

1. esomeprazole (Nexium)
2. lansoprazole (Prevacid)
3. omeprazole (Prilosec)
4. other drugs that stop or reduce stomach acid production.