<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi thre Doctor, Im a male 49 years old, im experiencing suddenly shortness of brath, lower back pain sweaty cold palms, shaking and chilling, and my bp spiking from normal to 160100 then goes down back to normal. sometimes with neck pain, and shoulder right pain.  <response>: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that it is necessary to perform a comprehensive differential diagnosis of different disorder affecting the chest structures lungs, cervical column, acute coronary syn Chat Doctor. I would recommend consulting with your GP for a careful physical examination, a chest x-ray, a resting ECG, respiratory function tests and some blood lab tests: - complete blood count-thyroid hormone levels-cortisol plasma levels a 