[70F] Experiencing sharp chest pain with associated symptoms

Patient Description

A 70-year-old female presents with a 6-day history of sharp chest pain rated 8/10 in severity, exacerbated by coughing and leaning over. The pain is localized at the center of the chest. The patient also reports experiencing chills, dizziness, and a productive cough. There is no reported shortness of breath or difficulty breathing. The patient has a recent history of travel. No interventions have been noted to alleviate the chest pain.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions may be causing your symptoms:

  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. The chest pain you're experiencing when coughing could be due to the inflammation in your lungs.

    • Treatment usually involves antibiotics, rest, and drinking plenty of fluids.
  • Pleurisy: This condition involves 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 depends on the underlying cause of pleurisy.
  • 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 deep veins in the legs or, rarely, from veins in other parts of the body (deep vein thrombosis). Given your recent travel, this is a possibility.

    • Treatment typically involves medications to dissolve the clot and prevent future clots.

Please remember that while these conditions are possibilities, they are not the only possibilities, and only a healthcare professional can provide a definitive diagnosis.

What you can do

Given the severity of your chest pain and your recent travel, it's important that you seek medical attention immediately. Chest pain can be a sign of serious conditions, such as a heart attack, even if you don't have other typical symptoms like shortness of breath.

What you should look out for

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

  • Severe chest pain
  • Chest pain that spreads to your jaw, left arm, or back
  • Chest pain that gets worse when you exert yourself
  • Shortness of breath
  • Sweating
  • Nausea or vomiting
  • Dizziness or fainting

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms in person.

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, and sharp chest pain that may worsen with coughing or deep breathing.


How is pleurisy different from other causes of chest pain?

Pleurisy is characterized by sharp chest pain that worsens with breathing or coughing, due to inflammation of the pleura, the lining around the lungs. This is different from other causes of chest pain, such as heart-related pain, which may not be affected by breathing.


What are the risk factors for developing a pulmonary embolism?

Risk factors for pulmonary embolism include prolonged immobility (such as during long travel), surgery, certain medical conditions like cancer, smoking, obesity, and a history of blood clots.


When should someone with chest pain seek immediate medical attention?

Immediate medical attention should be sought for chest pain if it is severe, spreads to the jaw, left arm, or back, worsens with exertion, or is accompanied by shortness of breath, sweating, nausea, dizziness, or fainting.


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