[39F] Experiencing sharp upper back pain and shortness of breath

Patient Description

A 39-year-old female presents with a sharp, stabbing pain on the upper left side of her back, which started last night. The pain is severe, rated 10/10, and is exacerbated by deep breathing or coughing. The patient also reports a sensation of shortness of breath since this morning, described as mild and similar to the feeling after running. There is no reported fever, chills, chest pain, or tightness, and no recent injuries. The patient notes some pain around the knee but no other symptoms were mentioned. The exact location of the back pain is not near the spine and does not radiate to other areas.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Pleurisy: This is inflammation of the tissues that line the lungs and chest cavity. It can cause sharp pain in the chest that worsens with deep breathing or coughing. It can also cause shortness of breath.

    • Treatment usually involves addressing the underlying cause, such as an infection, and managing symptoms with pain relievers and anti-inflammatory drugs.
  • Pulmonary embolism: This is a blockage in one of the pulmonary arteries in your lungs, often due to a blood clot that travels to your lungs from your legs. It can cause sharp chest pain that worsens with deep breathing, along with shortness of breath, rapid heart rate, and sometimes leg pain or swelling.

    • Treatment usually involves blood thinners or clot dissolvers.
  • Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. It can cause sharp pain in the back that worsens with movement or deep breathing.

    • Treatment usually involves rest, pain relievers, and physical therapy.

What you can do

You should seek immediate medical attention, especially due to the severity of your pain and the possibility of a serious condition like a pulmonary embolism.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Sudden, severe chest pain
  • Rapid heart rate
  • Fainting or feeling lightheaded
  • Coughing up blood
  • Severe shortness of breath

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis.

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11 mo ago

People Also Ask


What is pleurisy and what are its common symptoms?

Pleurisy is an inflammation of the pleura, the tissues that line the lungs and chest cavity. Common symptoms include sharp chest pain that worsens with deep breathing or coughing, and sometimes shortness of breath.


How is a pulmonary embolism diagnosed and treated?

A pulmonary embolism is typically diagnosed through imaging tests such as a CT scan or a lung ventilation/perfusion scan, and blood tests like D-dimer. Treatment often involves anticoagulant medications to prevent further clotting and, in severe cases, clot dissolvers or surgical intervention.


What are the typical causes of musculoskeletal pain in the back?

Musculoskeletal pain in the back can be caused by muscle strain, poor posture, overuse, or injury. It can also result from conditions like arthritis or herniated discs.


When should someone seek immediate medical attention for back pain?

Immediate medical attention should be sought for back pain if it is accompanied by symptoms such as sudden, severe chest pain, rapid heart rate, fainting, coughing up blood, or severe shortness of breath, as these could indicate a serious condition.


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