[18F] Experiencing severe shoulder pain and shortness of breath

Patient Description

An 18-year-old female reports suffering from severe shoulder pain and shortness of breath, rating the latter's severity as 7 out of 10. The shortness of breath occurs randomly, and no specific triggers have been identified. It is not alleviated by any known measures. The patient has a history of similar episodes. Accompanying symptoms include a stuffy nose persisting for almost two months, random coughing described as a severe dry cough, and chest pain. The patient denies any fever or chills and is not currently pregnant. The shortness of breath is not associated with physical activity as it occurs at rest.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Asthma: A condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath. Asthma can't be cured, but its symptoms can be controlled.

    • Treatment typically involves the use of inhalers to control symptoms.
  • Bronchitis: Inflammation of the bronchial tubes, which carry air to your lungs. Symptoms include coughing up thickened mucus and shortness of breath.

    • Treatment usually involves rest, paracetamol (or ibuprofen) and plenty of fluids.
  • Pneumonia: Infection that inflames the air sacs in one or both lungs. Symptoms include a cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment usually involves antibiotics, rest and fluids.
  • Anxiety: Anxiety can cause physical symptoms like pain, a pounding heart or stomach upset. It can be a normal reaction to stress or a symptom of a mental health disorder.

    • Treatment usually involves psychological therapy, medication, and self-care.

What you can do

You should seek immediate medical attention as your symptoms could indicate a serious condition. In the meantime, try to stay calm and avoid any strenuous activity that could exacerbate your symptoms.

What you should look out for

If your symptoms worsen or you experience any of the following, seek immediate medical attention:

  • Severe chest pain
  • Difficulty breathing
  • Confusion or difficulty staying awake
  • Blue lips or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of asthma and how is it treated?

Common symptoms of asthma include shortness of breath, chest tightness or pain, wheezing when exhaling, and coughing. Asthma is typically treated with inhalers that help open the airways and reduce inflammation.


How can bronchitis be distinguished from pneumonia, and what are their treatments?

Bronchitis often involves a persistent cough with mucus, while pneumonia may include a cough with phlegm or pus, fever, and difficulty breathing. Bronchitis is usually treated with rest, fluids, and over-the-counter pain relievers, while pneumonia often requires antibiotics and medical supervision.


Can anxiety cause physical symptoms like shortness of breath and chest pain?

Yes, anxiety can manifest with physical symptoms such as shortness of breath, chest pain, and a racing heart. These symptoms can occur even in the absence of a physical health issue and are often managed with therapy, medication, and stress-reduction techniques.


What should I do if I experience severe chest pain or difficulty breathing?

If you experience severe chest pain or difficulty breathing, it is important to seek immediate medical attention, as these could be signs of a serious condition. Call emergency services or go to the nearest hospital for evaluation and treatment.


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