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Chest pain when deep breathing (Family Physician)

Dr. Albana Greca., MBBS, MMEDSC

 

Medical Case Details:

Hi

A 36-year-old female patient presented with a recent history of chest pain around the sternum area on breathing. She suffered from flu before a week with a bit of nasal congestion and dry cough. May I know the suggestions? Thank you.

Any suggestions?
Thank you.

 


    Discussions


    Dr. Potnuru Srinivaasa Sudhakar
    Homeopathic Physician

    It may be pleurisy, it is due to inflammation of coverings over the lungs. Here the patient feels sharp pain when breath, and cough, sneeze also present, causes of pleuritic chest pain are bacterial or viral infections, pulmonary embolism, and pneumothorax.

    ▲ 3
    19.Feb, 08:59pm

    Dr. Yatish Anant Jadhav
    Anesthesiologist

    A case of Costochondritis

    ▲ 1
    23.Feb, 09:14pm

    Dr. Geethu Thomas
    Family Physician

    Please rule out GERD as well.

    01.Mar, 06:58pm

    Dr. Budde Srinivas
    Family Physician

    It may be costochondritis case

    01.Mar, 09:44pm

    Dr. Sumit Goyat
    Family Physician

    Most likely costocondritis after acute viral illness. See for point tenderness.

    ▲ 3
    02.Mar, 06:30am

    Dr. Parth R Goswami

    It is the form of musculoskeletal pain.
    Excess dry cough can lead muscular strain and so pain.
    Hot compress can be applied.
    If Auscultation suspicious than only further work up in form of chest x ray needed.

    ▲ 1
    04.Mar, 12:14am

    Dr. Hossam Saad Etman
    General Practitioner

    Diffrential diagnosis of this case is :-
    muscloskeletal pain (costocondritis )
    Gerd
    pleurisy
    chest infection
    -------------------
    to diffrentiate you need proper history talking and close examination .

    04.Mar, 07:30pm

    Dr. Sanjib K Sahu
    Cardiologist

    Pleuritic pain.

    04.Mar, 10:30pm

    Dr. Muhammad Sareer Khalil
    General Practitioner

    Pericarditis should be ruled out. An ekg should be done to look for typical changes associated with it. A cardiac cause can also be additionally ruled out.

    14.Mar, 12:33am

    Dr. Madhankumar M V

    Test comment

    19.Mar, 11:50am

    Dr. Abrar A. Khan

    Pleuritic chest pain or local costochondritis. Auscultation and local tenderness on examination will make it clearer.

    27.Mar, 07:10pm

    Dr. Pankaj Jawandhiya
    Nephrologist

    Tietz syndrome

    10.Apr, 01:08am

    Dr. Aida Quka
    Neurologist

    Hello!

    It seems to be a musculo-skeletal pain. But it is necessary to differentiate between chostocondritis and a possible pleuritis.
    For this reason, it is necessary performing some tests:

    - a chest X ray study
    - a phenicocostal recess ultrasound for the presence of fluid
    - complete blood count, PCR, sedimentation rate for inflammation.

    If the pain is triggered by pressure on the chest, especially in the lower sternum, the diagnosis of chostocondritis is more probable.
    Kind regards,
    Dr. Aida

    ▲ 2
    07.May, 01:53am

    Dr. Mohammad Asran

    If there is local tenderness it will be chostochodritis most probably .
    treatment short course corticosteroid, local analgesic and antinflamtory




    27.Jul, 04:41pm

    Dr. Amiya Kumar Chattopadhyay
    Cardiologist

    Pain around sternum following dry cough secondary to flu is due to costochondritis.
    Symptomatic treatment like anti-inflammatory analgesic, application analgesic ointment will suffice.
    It may take 2-3 weeks to subside.
    Reassure the patient that it is noncardiac.

    28.Sep, 03:36pm



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