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What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
Chest pain is one of the scariest symptoms a person can have because the first thing we usually think of is a heart attack. Of course, any new chest pain should be considered a medical emergency and checked out right away. But once a heart problem has been ruled out, one of the possibilities your doctor may consider is costochondritis. Costochondritis ((kos-toe-KHON-dri-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It is one of the most common cause of musculoskeletal chest pain. Symptoms: The two main symptoms of costochondritis are pain and tenderness in the chest wall, specifically where the ribs attach to the breastbone.
Pain – The pain of costochondritis is usually described as sharp and/or stabbing, but may also be dull, burning or gnawing. Often the pain gets worse when coughing or taking a deep breath. There may also be some difficulty breathing. The location of the pain can be on either...
Alternative Names Anthrax - inhalation Symptoms There are usually two stages of inhalation anthrax: Stage one can last from hours to a few days. Symptoms may resemble a cold or the flu, and can include fever, chills, sweating, fatigue, malaise , headache, cough, shortness of breath , and chest pain. Stage two often develops suddenly. Symptoms include fever, severe shortness of breath, and shock. This list of symptoms is based on a relatively small number of people who have had inhalation anthrax. Additional symptoms may occur. Signs and tests Tests may include: Blood cultures Chest x-ray or CT scan of the chest Sputum cultures Initial chest x-rays are likely to show abnormalities such as fluid surrounding the lungs or an abnormally wide space between the lungs. Fluid or blood samples may be sent to a special laboratory for more testing, including PCR, immunofluorescence, and immunohistochemistry. A spinal tap to analyze the cerebrospinal fluid (CSF) for infection also may be performed.
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