[23F] With chest heaviness and shortness of breath
Patient Description
A 23-year-old female reports experiencing a dull heaviness in the chest near the ribs and shortness of breath since yesterday. The severity of the chest heaviness is rated at 6 out of 10, while the shortness of breath is rated at 4 out of 10. The patient also reports experiencing shakiness and irregular heartbeats. There is no pain radiating to the arm, jaw, or back, and no dizziness, lightheadedness, nausea, vomiting, or swelling in the legs or ankles. The patient denies sweating or clamminess. She has experienced recent stress and anxiety, along with feelings of impending doom or fear of losing control. The patient uses a vape but has no family history of anxiety, panic attacks, or other mental health conditions. She is not up to date with vaccinations, including the COVID-19 vaccine. No other pre-existing conditions or chronic illnesses were mentioned.
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Arora's Assessment
What might be happening
Based on the symptoms you've described—heaviness in the chest, shortness of breath, shakiness, and palpitations—there are a few serious conditions that could be causing your symptoms:
- Heart Attack: This is a medical emergency where the blood flow to the heart is blocked. Symptoms can include chest pain or discomfort, shortness of breath, and palpitations. Immediate medical attention is crucial.
- Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs. It can cause chest pain, shortness of breath, and a feeling of anxiety or impending doom. This condition also requires immediate medical attention.
- Panic Attack: Given your recent stress and anxiety, it's possible that you could be experiencing a panic attack. Symptoms can include chest pain, shortness of breath, palpitations, and a feeling of impending doom. While not immediately life-threatening, it is important to seek medical advice to manage these symptoms.
What you can do
- Seek Immediate Medical Attention: Given the seriousness of your symptoms, it is crucial to seek medical attention immediately. Call 911 or have someone drive you to the nearest emergency room. Do not drive yourself.
- Stay Calm: Try to stay as calm as possible while waiting for medical help. Take slow, deep breaths to help manage your anxiety.
- Avoid Physical Exertion: Until you receive medical attention, avoid any physical activities that could exacerbate your symptoms.
Please remember, I am not a doctor. It is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. If you are alone, feel light-headed, develop a headache, or feel that your symptoms are worsening, please call 911 immediately.
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5 mo ago