Conversation: The conversation between human and AI assistant.
[|Human|] My 15 year old is 6feet tall he is autistic and cannot really explain his symptoms ,two days ago he complained of chest pain in the centre of his chest today he complained of neck pain for about half an hour he is 280 lbs. I checked his bp which was 134/87 could he be having angina
[|AI|]  Hi thanks for contacting Chat Doctor... In angina due to vasoconstriction pain is severe constricting type.... It can radiate to neck and shoulder... As patient is autistic he can't explain pain properly ...so rule out cardiac cause by ....ECG or 2D echo .... If no cardiac because present then take history about resp symptoms like runny nose, cough, fever to rule out bronchitis and pneumonia like condition...chest x-ray done if needed .... Auscultation also done. If still cause not found then it could be musculoskeletal pain ....if ribs tender on touch then Costco Chat Doctor. . Brufen given for it... As I have given best advise but it doesn't replace physical examination for proper diagnosis... Take care...