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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Chest Pain And Excessive Sweating?

A 40 Yr old male patient suffered from bilateral pleuritic chest pain with sweating.vital signs stable spo2 96% on air.He had history of hip operation for trochanteric fracture a week ago.blood test revealed leukocytocytosis 14×109.CRP raised.d dimer elevated 5 times normal.CTPA was negative for P E and showed bilateral segmental consolidations..apart from mild exertional chest pain so far stable.He is on LMWeight heparin and antibiotics.Could that be PE or Infection? Should he be on anticoagulations? Thank you
Wed, 5 Sep 2018
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General Surgeon,  's  Response
Hi,

All the symptoms you mentioned and added to it with no findings on ECG or ECHO might point towards something systemic cause that can result in these symptoms.

Hyperthyroidism can cause all the symptoms that you mentioned here.

I would suggest you to get a thyroid level study done to see whether that is a cause of your problem. Doing a TSH, T3 and T4 should be done.

Kindly do the above said study and get back with me with the reports or consult your doctor with the same.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Severe Chest Pain And Excessive Sweating?

Hi, All the symptoms you mentioned and added to it with no findings on ECG or ECHO might point towards something systemic cause that can result in these symptoms. Hyperthyroidism can cause all the symptoms that you mentioned here. I would suggest you to get a thyroid level study done to see whether that is a cause of your problem. Doing a TSH, T3 and T4 should be done. Kindly do the above said study and get back with me with the reports or consult your doctor with the same. Hope I have answered your query. Let me know if I can assist you further.