Scenario

[Wingnut]

26 y/o female. C/O chest pain, begins in back and radiates to ribs. Pain upon swallowing. Excrutiating when lying down, tolerable sitting and better when standing. Neg trauma,Neg Hx, other than 2 episodes of this pain in milder forms in the past 2 months.

Pt took aleve to relieve pain and hot shower, was covered in welts and hives after shower.

 

[Summit]

If she were mid cycle and the pain were lower I'd vote Mittelschmerz.

May I vote a very unsure heartburn/reflux again with this limited info.

No more naproxen for her.

Vitals? Breath sounds? SOB? Pain on inspiration expiration? Last intake? Swelling up? Itching? Known Allergies?

 

[Wingnut]

Vitals all normal, Wheezing on expiration (just getting over bronchitis), no SOB, pain doesn't change on expiration or inhalation, last intake pistachios a few hours prior, no known allergies, took a benadryl and relieved the itching & swelling.


Lol, this was me, I had a bad night last night I'm going to try to get to a dr today. Thought it might just be from coughing, but it got really bad and there's still burning in my esophagus this morning, I'm thinking acid reflux too.

 

[cbdemt]

Developing an allergy to nuts???

 

[rescuecpt]

This great ( <_< ) doc in the ER taught me that things that sound like this with a normal ECG are all "pleuritic chest pain & irritation". Gotta love it.

 

[Wingnut]

A little general there huh? lmao

 

[Jon]

Originally posted by cbdemt@Mar 15 2005, 01:41 PM
Developing an allergy to nuts???

I guess that woulkd mean she can't hang around here anymore

Jon

 

[Wingnut]

Originally posted by MedicStudentJon+Mar 18 2005, 07:21 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (MedicStudentJon @ Mar 18 2005, 07:21 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-cbdemt@Mar 15 2005, 01:41 PM
Developing an allergy to nuts???

I guess that woulkd mean she can't hang around here anymore

Jon [/b][/quote]
Well according to my family & friends, it would mean I'm allergic to myself. That might be a bigger problem lol