Which of the following symptoms is the most likely origin of pain the client described as knifelike chest pain that increases in intensity with inspiration?
A. Cardiac
B. Gastrointestinal
C. Musculoskeletal
D. Pulmonary
Correct Answer: D. Pulmonary
Pulmonary pain is generally described by these symptoms. Lung and breathing problems can cause sudden, sharp chest pain. Some lung problems can be serious. Lung conditions that can cause chest pain include chest infection, asthma attack, pneumonia, pleurisy, pulmonary embolism, collapsed lung, or pulmonary hypertension.
Option A: Most people think of a heart attack when they have chest pain. Heart attacks typically cause a dull pain or an uncomfortable feeling of pressure or tightness in the chest. They may also cause burning pain in the chest. The pain will normally last for several minutes or more. Additionally, chest pain from a heart attack is usually diffuse. This means that it is difficult to pinpoint. The chest pain may spread from the center or all over the chest.
Option B: GI pains don’t change with respiration. Heartburn or acid reflux is also called indigestion and gastroesophageal reflux disease (GERD). It happens when stomach acid splashes up from the stomach. This can cause a sudden pain or burning feeling in the chest.
Option C: Musculoskeletal pain only increases with movement. Muscle or bone problems can cause sudden, sharp chest pain. The ribs and the muscles between them can get injured or bruised by working out, carrying something heavy, or in a fall. The client may also sprain a muscle in the chest wall.
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