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- Can say 10 or more words when asked
- Having an unusual temper or agitation
- Inability to care for basic personal needs
- Pain medicines
- The joints between you ribs and breastbone, so that you cannot expand your chest fully
- Is it always in the same location?
- Apply heat or ice to the painful area. One good method is to use ice for the first 48 - 72 hours, then use heat after that. Heat may be applied with hot showers, hot compresses, or a heating pad. Be careful not to fall asleep with a heating pad or ice bag on. This can give you burns or frostbite.
- Age over 30
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- Have you had a fever?
- Medicine to increase blood flow to the lungs called phosphodiesterase inhibitor (such as sildenafil)
- CMV pneumonitis
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Muscles between the ribs pull in when breathing (intercostal retractions)
- New symptoms develop
- Fluids through a vein (IV)
- Kidney failure
- Head MRI
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