22y male, dull pain and ache only on left side chest, back, shoulder, neck and uper arm. no shortness of breath, nausea or dizziness. what's the dx?

Question

I have chest pain left side around heart. Pain can be sharp or dull and can be stabbing or achey. Pain in left arm, shoulder, neck. Dizzy, rapid heart ?

Answer 1

Chest pain ? etiol: Cardiac cause such as pericarditis needs to be evaluated. Could also be musculosketetal / neuromuscular. Needs further workup.

Answer 2

Yes: Bcp use is not associated with any significant incidence of breast cancer regardless of risk factors, however, certain breast cancers can grow in response to estrogen use. It is advised to begin cancer screening 10 years before your mother was first diagnosed with breast cancer. This should include yearly physician exam and mammography, ultrasound, and/or mri, depending on age and risk factors.

Answer 3

Ear/Sinus Infection: An ear infection or sinus infection will cause facial pain which can cause pain in the ear or the eye. Taping on the face will elicit pain if the sinus is infected. An ear infection will usually have discharge or pain when pullin on the ear.

Answer 4

Eye pressure: Possibly sinus pressure or infection. A decongestant may help-- try saline nasal spray first-- if this does not help, have an parent call your primary doctor.

Answer 5

Biopsy when stable: The current studies suggest that there may be a cancer. The source could be the lung or thyroid. This could also be benign, but with the pe it will need further workup. After the pe is stabilized a biopsy is the only way to know.

Answer 6

Biopsy: Biopsy is needed to prove cancer. However, it cannot be done while on anticoagulation which he needs for the pe. You may consider a pet scan to find the easiest place to biopsy once the anticoagulation can be safely held. There are also alternative diagnoses to explain all of these findings, such as autoimmune diseases and infection. That said, you still need to rule out cancer.

Answer 7

Biopsy: The easiest in this case is to biopsy the thyroid nodules. You don't need to go off the anticoagulant to biopsy a thyroid nodule. The needles that we use is so small that bleeding is not a big concern with thyroid biopsies.

Answer 8

Caution advised: In the years I have been practicing I have yet to see anyone with significant lasting improvement after radio frequency ablation which is used to cauterize the small nerves supplying sensation to the spine. Assess the risks versus benefits carefully before deciding.

Answer 9

Consult physician: As you can imagine there are several causes for your symptoms, some severe and some not severe. But a physician needs to see you to question you about them and perform a physical examination. Test may/may not be ordered according to the physician's impression, but most of the time he/she will do. Good luck!

Answer 10

Weight loss: IF you are having persistent pain and weight loss you should be seen.

Answer 11

See doctor: Agree with Dr. Hickerson. Unintended weight loss warrants evaluation by a doctor. Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine

22y male, dull pain and ache only on left side chest, back, shoulder, neck and uper arm. no shortness of breath, nausea or dizziness. what's the dx?

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