Substernal Pain

The differential diagnosis, docs?

gum pain> and bleeding (light)> retrosternal recurrent chest pain (5 out of 10)> type of allergic reaction (mild) in the face [may not be related]> heartburn (about two times a week)> mild to moderate lower abdominal pain, suprapubic (menstruation, when approaches) nausea> and vomiting with menstruation> easy gusts> bruises of anger is my girlfriend. any help would be appreciated. Best help gets the best of points as best answer. (10 points) =)

von Willebrand disease and bulimia are a couple of things that immediately come to mind. It is tempting to combine these things together, but it is also possible that there is no unifying pathology. It could a combination of allergies, reflux, iron deficiency anemia, dysmenorrhea, etc., which are quite common. The only way she'll find out for sure is to make an appointment with a clinic good family doc. It will do a complete history and physical and blood tests and have a much better support than any advertiser you happen to fish off the Internet a forum for anonymous discussion. Gotta tell you though, it seems a bit strange, you should use words like "suprapubic", "substernal", "rules" etc. If you cheat on your homework fine, at least directly on it.

EMT Jamie, this is EMT Alexander

Acute Substernal Chest Pain and Rhinolalia in an 18-Year-Old Woman (Postgraduate Medicine) $2.99 Abstract: An 18-year-old woman with no medical history presented to the emergency department with acute substernal chest pain and a change in her voice. Both symptoms began several hours after an episode of violent and persistent coughing which lasted several minutes. The patient reported having a mild, nonproductive cough 1 week before, but denied any trauma to the neck, chest, or abdomen. She wa…