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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23 yo With Chest Pain

Hx: A 23 yo male complains of chest pain. It has been present for 2 days, and intermittent. This morning he awoke feeling well but then developed 2/10 dull mid chest pressure, non-radiating, but associated with a tightness in his right arm. His right arm also felt weak to the point where he had difficulty holding a cup. No shorties

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Chest Pain: A Repeat Visit

Hx: A 39 yo female complains of chest pain. It began today, is felt as a pressure in the mid chest with a sensation of heart racing, and is associated with shortness of breath. She also has significant associated anxiety. She notes a similar episode one week ago when she was seen in the emergency department and had negative cardiac

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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, Short Of Breath

Hx: A 55 yo female presents by EMS complaining of chest pain. She states she was about to begin eating lunch at a restaurant when she had sudden onset of mid sternal chest pressure radiating to the back. She has associated shortness of breath, which has been present for the past 4 days and gradually worsening. She also states that

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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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