[37F] Experiencing sharp chest pain with associated symptoms

Patient Description

A 37-year-old female presents with sharp, consistent chest pain rated 5/10 in severity, which is exacerbated by deep breaths and palpation. The pain started yesterday and has not been alleviated by any activities or positions. Additionally, the patient reports fatigue, nausea, and dull right shoulder pain rated 5/10, which has been present for a week and is exacerbated by lifting the arm to the side and movement. There is no history of recent injuries or activities that could explain the shoulder pain. The chest pain is localized and does not radiate to other areas.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Costochondritis: This is an inflammation of the cartilage in the rib cage. It usually occurs in the cartilage where the upper ribs attach to the breastbone, or sternum, an area known as the costosternal joint. The pain associated with costochondritis often mimics the pain of cardiac problems, including heart attacks and stroke. The condition is one of the most common causes of chest pain.

    • Treatment typically involves rest and medications to reduce inflammation and pain.
  • Gallbladder Disease: Gallstones or inflammation of your gallbladder can cause severe abdominal pain that may radiate to your right shoulder. Other symptoms can include nausea and vomiting.

    • Treatment can range from dietary changes to surgical removal of the gallbladder, depending on the severity of the condition.
  • Heart Conditions: Although less likely due to your age and gender, certain heart conditions can cause chest pain, fatigue, and nausea. These include conditions like coronary artery disease, heart attack, or angina.

    • Treatment can range from lifestyle changes and medications to more invasive procedures like stents or bypass surgery.

What you can do

Given the severity and nature of your symptoms, it is important to seek immediate medical attention. Chest pain can be a sign of serious conditions, including heart problems. While your symptoms may be due to a less serious condition like costochondritis, it is crucial to rule out more serious causes.

What you should look out for

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

  • Increased severity of chest pain
  • Difficulty breathing or shortness of breath
  • Fainting or loss of consciousness
  • Pain spreading to the arm, neck, or jaw
  • Sweating, nausea, or vomiting

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 examinations, treatment, testing, and care recommendations.

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10 mo ago

People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage where the ribs attach to the breastbone. It often causes chest pain that can mimic heart problems. Treatment typically involves rest and anti-inflammatory medications to reduce pain and swelling.


Can gallbladder issues cause shoulder pain?

Yes, gallbladder issues such as gallstones or inflammation can cause referred pain to the right shoulder. This is due to the way nerves in the body are connected. Other symptoms may include nausea and abdominal pain.


What are the symptoms of a heart condition that might be confused with other issues?

Symptoms of a heart condition that might be confused with other issues include chest pain, fatigue, nausea, shortness of breath, and pain that may radiate to the arm, neck, or jaw. It's important to differentiate these from other conditions like costochondritis or gallbladder issues.


When should I seek immediate medical attention for chest pain?

You should seek immediate medical attention for chest pain if it increases in severity, is accompanied by difficulty breathing, fainting, pain spreading to other areas, or symptoms like sweating, nausea, or vomiting. These could be signs of a serious condition such as a heart attack.


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