[43F] Experiencing severe lung and shoulder pain with cough

Patient Description

A 43-year-old female is experiencing severe sharp pain in the upper right side of the lung and right shoulder, which is exacerbated by movement, breathing, and coughing. The pain radiates to the back and under the arm. These symptoms have been present for approximately 5 days. The patient also reports a forceful cough without expectoration, runny nose, slight fever, and ear pain with blockage lasting over a week. There is a noted shortness of breath and a small amount of blood expectorated. The patient has been taking extra strength Excedrin for headaches, totaling 8 doses in the last 6 days. She has no known pre-existing conditions or chronic illnesses but is allergic to most pain medications and is not currently on any prescribed medication.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing. The pain in your lung and shoulder, along with your cough and slight fever, could be symptoms of pneumonia.

    • Treatment typically involves antibiotics, fever reducers, and cough medicine. It's important to get plenty of rest and stay hydrated.
  • Pleurisy: This is an inflammation of the lining of the lungs and chest (the pleura) that leads to chest pain (usually sharp) when you take a breath or cough.

    • Treatment of pleurisy involves pain control and treating the underlying condition.
  • Pulmonary embolism: This is a blockage in one of the pulmonary arteries in your lungs. In most cases, pulmonary embolism is caused by blood clots that travel to the lungs from the legs or, rarely, other parts of the body (deep vein thrombosis). The pain in your lung and shoulder, along with your difficulty breathing, could be symptoms of a pulmonary embolism.

    • Treatment typically involves anticoagulants (blood thinners) to prevent further clotting, and in severe cases, more aggressive treatments.

Please note that these are possible conditions and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Given the severity of your symptoms, it's important to seek immediate medical attention. Please go to the emergency department as soon as possible.

What you should look out for

Please seek immediate medical attention if you experience:

  • Increased difficulty breathing
  • Increased pain in your chest or shoulder
  • Coughing up more blood
  • A high fever

Please remember that while I strive to provide accurate and helpful health information, 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.

Show More

1
 Hugs
0
 Comments

Save

10 mo ago

People Also Ask


What are the common symptoms of pneumonia?

Common symptoms of pneumonia include cough with phlegm or pus, fever, chills, difficulty breathing, chest pain, and fatigue. Some people may also experience nausea, vomiting, or diarrhea.


How is pleurisy different from pneumonia?

Pleurisy is an inflammation of the pleura, the lining around the lungs, causing sharp chest pain that worsens with breathing or coughing. Pneumonia is an infection of the lung tissue itself, often causing cough, fever, and difficulty breathing. While both can cause chest pain, pleurisy is more associated with pain during breathing.


What are the risk factors for developing a pulmonary embolism?

Risk factors for pulmonary embolism include prolonged immobility, surgery, certain medical conditions like cancer, smoking, obesity, and a family history of blood clots. It can also occur due to deep vein thrombosis, where blood clots form in the legs and travel to the lungs.


What should I do if I experience shortness of breath and chest pain?

If you experience shortness of breath and chest pain, it is important to seek immediate medical attention, as these could be signs of a serious condition such as a pulmonary embolism or heart attack. Go to the emergency department or call emergency services for prompt evaluation and treatment.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback