[47F] Experiencing sharp chest soreness and leg tenderness

Patient Description

A 47-year-old female reports sharp chest soreness rated 7/10, exacerbated slightly by deep breaths, with some relief from aspirin. The soreness has occurred randomly a few times over the last 2 days. Additionally, she experiences sore legs and a tender neck but no shortness of breath or radiating pain. The patient describes the chest pain as a pressure sensation. Her current medications include Escitalopram oxalate, Bupropion, Entresto, and Qulipta. She has a known allergy to Penicillin. No pre-existing conditions or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, possible conditions include:

  • Musculoskeletal pain: This is pain that affects the muscles, ligaments and tendons, and bones. The symptoms can include localized pain and tenderness, and the pain can be worsened with movement or pressure. This could explain your chest soreness and leg soreness.

    • Treatment typically involves rest, pain relievers, and physical therapy.
  • 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 (sternum). This can cause chest pain that often worsens when you take a deep breath or cough.

    • Treatment typically involves pain relievers and rest.
  • Angina: This is a type of chest pain caused by reduced blood flow to the heart. Angina is a symptom of coronary artery disease. Angina, like a heart attack, can cause chest pain and discomfort, typically described as pressure, squeezing, or a sharp chest pain.

    • Treatment typically involves medication, lifestyle changes, and in some cases, surgery.
  • 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). This could explain your chest pain and leg soreness.

    • Treatment typically involves anticoagulants (blood thinners) to prevent further clotting, and in some cases, surgery.

Remember, I'm an AI and not a doctor. These are possible conditions based on your symptoms, but they are not definitive.

What you can do

  1. Seek immediate medical attention. Chest pain can be a sign of serious conditions, including heart disease. It's important to get this checked out as soon as possible.
  2. Try to rest and avoid any activities that seem to make your chest pain worse.
  3. Continue to take your prescribed medications as directed by your doctor.

What you should look out for

Seek immediate medical help if:

  • Your chest pain becomes severe or is ongoing
  • You have shortness of breath
  • You feel lightheaded, dizzy, or faint
  • You have pain that spreads to your arms, back, neck, jaw, or stomach
  • You have nausea, fatigue, sweating, or a fast or irregular heartbeat

Remember, it's important to seek care from a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What is costochondritis and how is it treated?

Costochondritis is an inflammation of the cartilage that connects a rib to the breastbone. It can cause sharp chest pain that worsens with deep breaths or coughing. Treatment typically involves pain relievers and rest.


How can musculoskeletal pain be distinguished from other types of chest pain?

Musculoskeletal pain is often localized and can be worsened by movement or pressure. It differs from other types of chest pain, such as cardiac pain, which may be more diffuse and associated with other symptoms like shortness of breath or radiating pain.


What are the symptoms of angina and how is it managed?

Angina is characterized by chest pain or discomfort due to reduced blood flow to the heart. It is often described as pressure or squeezing. Management includes medications, lifestyle changes, and sometimes surgical interventions.


What are the risks and symptoms of a pulmonary embolism?

A pulmonary embolism is a blockage in the pulmonary arteries, often due to blood clots from the legs. Symptoms include sudden chest pain, shortness of breath, and leg pain or swelling. It is a serious condition that requires immediate medical attention and is treated with anticoagulants or surgery.


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