[30F] Experiencing chest pain, headache, and blurry vision

Patient Description

A 30-year-old female reports experiencing an aching chest pain on the right side that is worsened by lying down and alleviated by sitting up. The pain is rated at a severity of 5 out of 10. Additionally, the patient has a headache located at the temples, which fluctuates in severity from 5 to 10 out of 10, despite taking medication. The patient also reports blurry vision, which has been occurring since a diagnosis of idiopathic intracranial hypertension made in the previous year. The patient's blood pressure is elevated at 156/105. No shortness of breath, palpitations, weakness, numbness, difficulty speaking, or family history of hypertension or cardiovascular disease were reported. The patient is currently on blood pressure medication intended to lower blood pressure. No allergies to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you are experiencing several symptoms that could be related to a variety of conditions. Here are some possibilities:

  • Hypertensive Crisis: This is a condition where blood pressure becomes very high, very quickly. It can cause a variety of symptoms, including headaches, chest pain, and blurry vision. This condition is a medical emergency and requires immediate attention.

  • Migraine: Migraines are a type of headache characterized by severe pain, often accompanied by nausea and changes in vision. They can be triggered by a variety of factors, including stress, certain foods, and changes in sleep patterns.

  • Idiopathic Intracranial Hypertension (IIH): This is a condition where the pressure inside the skull (intracranial pressure) is too high. Symptoms can include headaches, vision problems, and tinnitus (ringing in the ears).

What you can do

Given the severity of your symptoms and your high blood pressure, it's important to seek immediate medical attention. Here's what you can do:

  1. Call an ambulance or go to the emergency department immediately.
  2. Do not attempt to lower your blood pressure on your own without medical supervision.
  3. Try to remain calm and avoid any strenuous activity.

What you should look out for

Here are some signs that your condition may be worsening:

  • Severe headache that does not improve with over-the-counter pain relievers
  • Chest pain that worsens or does not improve
  • Any changes in vision, such as double vision or loss of vision
  • Difficulty speaking or understanding speech
  • Weakness or numbness on one side of the body

Please remember, while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the symptoms of a hypertensive crisis?

Symptoms of a hypertensive crisis can include severe headache, chest pain, blurry vision, shortness of breath, and confusion. It is a medical emergency and requires immediate attention.


How can idiopathic intracranial hypertension affect vision?

Idiopathic intracranial hypertension can cause increased pressure in the skull, leading to symptoms such as blurry vision, double vision, and even temporary vision loss. It is important to monitor these symptoms and seek medical advice.


What are common triggers for migraines?

Common triggers for migraines include stress, certain foods (like aged cheese and processed meats), caffeine, alcohol, hormonal changes, and changes in sleep patterns. Identifying and avoiding triggers can help manage migraines.


What should I do if my blood pressure medication isn't working?

If your blood pressure medication isn't working, it's important to consult with your healthcare provider. They may need to adjust your dosage or try a different medication. Do not change your medication regimen without professional guidance.


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