Tag Archives: chest pain


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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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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