Conversation: The conversation between human and AI assistant.
[|Human|] For years I have had a pain under my armpit, it seems to travel from there up through my jaw and into my ear. Recently the pain has been in my top right back instead of armpit. It causes a great deal of pain and no position makes it any easy. I comes constantly and can last for a hour or more.
[|AI|]  Dear patient what it could be1) angina: It is rare but true that anginal pain may refer to jaw and ear. Get an EKG and a 2d echo to confirm. Echo can help rule out Pulmonary stenosis as well which may be a possibility2) Swollen lymph nodes: swollen lymph nodes may impinge nerves or infected lymph nodes may result in radiating pain. A simple examination of lump nodes by you GP should rule this out3)Vasculitis: Giant cell arthritis is an inflammatory disorder of the subclavian vessels which can involve its branches as well. Diagnosis will be by LFT showing elevated ALP, raised ESR, c reactive protein and platelet count3) Neuropathic pain: A pain of neurological origin either due to stress on my facial trigger points or due to soft tissue impingement of nerve. A MRI scan will rule it out MY advice to you is make sure angina is ruled out first and foremost.