PEDIATRICS Vol. 72 No. 6 December 1983, pp. 916
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Adolescent Chest Pain

ROBERT H. PANTELL MD1 and BENJAMIN W. GOODMAN MD2

1 Department of Pediatrics, University of California, San Francisco San Francisco, CA 94143
2 Department of Family Medicine, Medical University of South Carolina

In Reply.—

We did not conduct urine testing for cannabinoids but did inquire about the use of marijuana. Adolescents were questioned about use of all street drugs, including manjuana. Patients with chest pain did not admit to using drugs (5%) any more frequently than patients in our control groups with abdominal pain (8%) or without pain (4%).

The above letters highlight the importance of considering the importance of psychologic, situational and environmental conditions when evaluating an adolescent with chest pain.