Chest pain can be a tricky clinical presentation since it can result from a problem in a number of organs in the chest itself (heart, lungs) and in its vicinity (stomach, intestines). These different underlying causes commonly have very similar manifestations (signs and symptoms), so we need more information to narrow down the possible causes for each particular case, such as when the pain started, if it's continuous or comes and goes, the quality of the pain (burning, pressure-like etc.), if it is associated with shortness of breath or vomiting, and how it is affected by respiration, bowel movement and body posture.
Moreover, the age group of this lady makes things even more complex, especially if she has one or more of the following risk factors for cardiovascular disease: obesity, hypertension (high blood pressure), chronic smoking, dyslipidemia (lipid disease), diabetes, and being on oral contraceptive pills.
The best thing to do is to have this lady receive a thorough check up in the doctor's office.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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