[47F] Experiencing acute right chest pain

Patient Description

A 47-year-old female reports experiencing sharp right chest pain for the past 24 hours. The pain worsens with deep breathing and bending over, and she rates it as an 8 out of 10 in severity. The pain began suddenly and has progressively worsened, remaining steady. The patient also notes experiencing a slight shortness of breath. There is no mention of recent long-distance travel or prolonged immobility.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—sharp right chest pain that worsens with breathing in or bending over, and a pain severity of 8 out of 10—there are a few possibilities to consider:

  1. Pleurisy: This is an inflammation of the tissues that line your lungs and chest cavity. It can cause sharp pain that worsens with breathing. Treatment typically involves addressing the underlying cause, which could be an infection or other condition, and may include anti-inflammatory medications.

  2. Pulmonary Embolism: This is a serious condition where a blood clot blocks one of the arteries in your lungs. It can cause sudden, sharp chest pain and shortness of breath. This is a medical emergency, and treatment usually involves anticoagulant medications to dissolve the clot.

  3. Pneumothorax (Collapsed Lung): This occurs when air leaks into the space between your lung and chest wall, causing the lung to collapse. It can cause sudden chest pain and shortness of breath. Treatment may involve observation, oxygen therapy, or procedures to remove the air.

  4. Costochondritis: This is an inflammation of the cartilage that connects a rib to the breastbone, causing sharp chest pain. It is often treated with pain relievers and anti-inflammatory medications.

What you can do

Given the severity and nature of your symptoms, it's important to seek medical attention immediately. Here are some steps you can take:

  • Seek Emergency Care: Visit the nearest emergency room or urgent care center as soon as possible. If you feel light-headed, have difficulty breathing, or your symptoms worsen, call 911 or have someone drive you to the hospital.

  • Avoid Strain: Try to avoid activities that exacerbate the pain, such as bending over or taking deep breaths, until you receive medical evaluation.

  • Stay Calm: While waiting for medical help, try to stay calm and breathe slowly to avoid increasing your discomfort.

Remember, only a healthcare professional can provide a formal diagnosis and appropriate treatment. Please prioritize getting medical attention right away.

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3 mo ago

People Also Ask


What are the common symptoms of pleurisy?

Common symptoms of pleurisy include sharp chest pain that worsens with breathing, coughing, or sneezing. Some people may also experience shortness of breath or a dry cough.


How is a pulmonary embolism diagnosed?

A pulmonary embolism is typically diagnosed using imaging tests such as a CT pulmonary angiography, which provides detailed images of the blood vessels in the lungs. Blood tests, such as D-dimer, and ultrasound of the legs may also be used to detect clots.


What are the treatment options for a pneumothorax?

Treatment options for a pneumothorax depend on its severity. Small pneumothoraxes may resolve on their own with rest and oxygen therapy. Larger or more severe cases may require procedures to remove the air, such as needle aspiration or chest tube insertion.


Can costochondritis cause severe chest pain?

Yes, costochondritis can cause severe chest pain, often described as sharp or aching, and it may worsen with certain movements or pressure on the chest. It is usually treated with pain relievers and anti-inflammatory medications.


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