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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Cause For Chest Pain With Shortness Of Breath And Cough

Mr. Jackson, age 65, comes to the doctor s office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor use, and what specific signs would the doctor look for to pinpoint the cause?
posted on Sun, 1 Oct 2017
Twitter Fri, 3 Nov 2017 Answered on
Twitter Fri, 3 Nov 2017 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
According to his symptoms, possibility of bronchitis or lung infection is more likely.
He is having pleuritic pain (pain on deep breathing).
Pleuritic pain is characteristically seen in pneumonia and bronchitis.
So doctor will auscultate his lungs. If it sounds like wheezing then bronchitis is more likely and hence PFT (Pulmonary Function Test) is needed.
If it sounds like crepts then pneumonia is more likely and hence chest x ray is needed.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.
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Suggest Cause For Chest Pain With Shortness Of Breath And Cough

Thanks for your question on Healthcare Magic. I can understand your concern. According to his symptoms, possibility of bronchitis or lung infection is more likely. He is having pleuritic pain (pain on deep breathing). Pleuritic pain is characteristically seen in pneumonia and bronchitis. So doctor will auscultate his lungs. If it sounds like wheezing then bronchitis is more likely and hence PFT (Pulmonary Function Test) is needed. If it sounds like crepts then pneumonia is more likely and hence chest x ray is needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks.