[29M] With sharp rib pain and exertional blurry vision

Patient Description

A 29-year-old male reports experiencing sharp pain on the left side of the rib cage for approximately one week. The pain, rated at 6-7 out of 10, extends from the front near the chest to the back of the rib and is exacerbated by almost every movement, including standing, sitting, walking, bending, reaching, breathing, and driving. The onset of pain was sudden, and it has worsened over time. The patient does not recall any specific injury that might have caused the pain and denies recent strenuous activities or heavy lifting. There is some swelling in the affected area. Additionally, the patient experiences blurry vision during exertion, shortness of breath, and wheezing, particularly when moving a lot. There is no history of recent respiratory infections or persistent coughing. The patient has a history of smoking or exposure to secondhand smoke.

Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential concerns that need immediate attention:

Pneumothorax (Collapsed Lung): The sudden onset of sharp rib pain, especially with shortness of breath and wheezing, could indicate a pneumothorax. This condition occurs when air leaks into the space between your lung and chest wall, causing the lung to collapse. It can be life-threatening and requires urgent medical evaluation and treatment.
Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs, often caused by blood clots. Symptoms can include sharp chest pain, shortness of breath, and sometimes blurry vision due to decreased oxygen levels. This is a medical emergency.
Rib Fracture or Injury: Even without a remembered injury, a fracture or severe bruise could cause sharp pain and swelling. This could also lead to complications like a pneumothorax.
Pleurisy: This is inflammation of the tissues that line your lungs and chest cavity, which can cause sharp pain that worsens with breathing or movement.

What you can do

Given the seriousness of your symptoms, it is crucial to seek immediate medical attention. Here are some steps you should take:

Go to the Emergency Room: Due to the potential for serious conditions like a pneumothorax or pulmonary embolism, you should visit the emergency room as soon as possible. These conditions require prompt diagnosis and treatment.
Call 911: If your symptoms worsen, such as increased difficulty breathing, severe chest pain, or if you feel faint, call 911 immediately.
Avoid Exertion: Until you receive medical evaluation, try to minimize physical activity to prevent worsening of symptoms.
Do Not Drive Yourself: If possible, have someone else drive you to the hospital to ensure your safety.

Remember, while I can provide information based on your symptoms, only a healthcare professional can provide a formal diagnosis and appropriate treatment. Please prioritize your health and seek care immediately.

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2 mo ago

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