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The symptoms appear in the upper chest region (substernal and carinal regions).
Patients may complain of substernal pain that resolves by sipping fluids or regurgitating food.
"How about substernal pain?"
Patients are usually asymptomatic but can present with myasthenia gravis-related symptoms, substernal pain, dyspnea, or cough.
Anterior mediastinum: Substernal thyroid goiters, lymphoma, thymoma and teratoma.
Consequently, diethylene glycol dinitrate has occasionally been used medically to relieve angina, substernal chest pain associated with impaired cardiac circulation.
Besides the two nurses, one of the evening mi- crobiology techs had abruptly experienced sore throat, headache, shak- ing chill, muscle pain, cough, and substernal discomfort.
The specialized language of medicine robs patients of their individuality and reduces their narrative to something like: "This 55-year-old black female was in her usual state of health until three days prior to admission when she experienced the sudden onset of substernal chest pain on exertion."
The CNS does not clearly discern whether the pain is coming from the body wall or from the viscera, but it perceives the pain as coming from somewhere on the body wall, i.e. substernal pain, left arm/hand pain, jaw pain.