<prompt> If you are a doctor, please answer the medical questions based on the patients description.I HAVE HAD CHEST PAIN ON THE RIGHT SIDE OF MY CHEST WITH EXERTION FOR SEVERAL YEARS. UP UNTIL NOW IT COMES AND GOES QUICKLY. THREE DAYS AGO I EXPERIENCED SHARP PAIN WHILE DRIVING NON EXERTION AND IT HAS NOT GONE AWAY. I HAVE FELT VERY FATIGUED SINCE. WHEN I WOKE UP THIS A.M. MY RIGHT HAND WAS SWOLLEN  <response>: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to inflammation. I recommend consulting with your attending physician for a physical exam and some tests to investigate for the possible underlying causes: - a chest X-ray study- PCR, sedimentation rate, complete blood count- a Doppler ultrasound of the neck arteries and of the arm arteries Hope to have been helpful! Kind regards, 