I have a pain that started in right shoulder blade

Patient : I have a pain that started in right shoulder blade about 4 weeks ago. Since I have psoriasis I thought it was arthritis and was taking Tylenol arthritis for the pain. Since, it has progressed to my right chest above my breast and is sometimes so bad it stops me dead in my tracks and takes my breath away With a sharp lighting pain. Have been alternating acetomenophin and ibuprofen for pain but doesn't touch it. Today is the worst it has been she thinking about going to urgent care. Would like a thought before going though because sometimes they just take your money and offer no medical advice
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