Conversation: The conversation between human and AI assistant.
[|Human|] sharp chest pains on the left side and swellings of the face ankles and hands. ive also had muscle weakness on the left side and tremors on the right side.Hi my name is christina and im a 33yr old female. ive been concerned because the right side of my chest has been hurting like someone is stabbing me with tons of needles and it just keeps repeating it self. i also have major muscle weakness on my left side and my whole right side is shakey. my hands and feet are always cold. this has been going on for 4 months.
[|AI|]  Hello! Welcome on Chat Doctor ! I would explain that your clinical situation seems to be complex, and it is necessary performing a comprehensive differential diagnosis in order to investigate for the underlying possible causes: a cervical spine disorder, vitamin D deficiency, an inflammatory disorder, peripheral neuropathy, etc. For this reason, I would recommend consulting with your physician for a careful physical check up and some tests: - complete blood count- a cervical spine X-ray study- a chest X-ray study-thyroid hormone levels-vitamin D levels - blood electrolytes- a nerve conduction study to examine your nerves. A cervical spine MRI study may be needed in case of an abnormal neurological exam. Hope you will find this answer helpful! Best wishes,