Tag Archives: chest pain

STEMI by CT?

Hx: A male in his 60’s presents to a small ED with nausea and vomiting for 24 hours. He denies any fever, abdominal pain, or diarrhea. There has been no blood in the emesis. However, symptoms have persisted for 24 hours. He also denies any history of similar episodes. PMHx: Hypertension SocHx: occasional alcohol, no tobacco or drugs Exam: Vitals:

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Chest And Flank Pain

Hx: A 67 yo male complains of chest pain with shortness of breath. Pain is mid sternal pressure, non-radiating, and started this morning. There was some shortness of breath but it is better after a single nitro at home which he took about 4 hours ago. He also has left lateral chest pain/flank pain for 2 days that is separate,

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Bad Mexican Food

Hx: A 50 yo woman arrives in the ED complaining of “eating bad Mexican food”. She was at a nearby restaurant when she experienced abdominal pain, but feels better and feels “silly” for being in the ED. Pressing for more, she relates sudden onset of mid abdominal pain in the epigastrum that moved to her chest, then back down to her

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Chest Pain

Hx: It’s the start of your shift and EMS brings a “chest pain” patient to the ED. They report a 62 yo female with onset of chest pain while on a treadmill. She called 911, EMS arrived and administered aspirin and held nitro because her pain was improving and her vitals were normal. IV placed in transport and no other

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