50-year-old Male With Chest Pain

A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. Th...

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Bibliographic Details
Main Authors: William L. Fernandez, Laura J. Bontempo, Zachary D.W. Dezman
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/2bd5015c
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author William L. Fernandez
Laura J. Bontempo
Zachary D.W. Dezman
author_facet William L. Fernandez
Laura J. Bontempo
Zachary D.W. Dezman
author_sort William L. Fernandez
collection DOAJ
description A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient’s diagnosis.
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spelling doaj.art-54f8edeee7ab4aeb8217e8141f2af9382022-12-21T19:05:13ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-11-013410.5811/cpcem.2019.10.45318cpcem-03-32150-year-old Male With Chest PainWilliam L. Fernandez0Laura J. Bontempo1Zachary D.W. Dezman2University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, MarylandUniversity of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, MarylandUniversity of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, MarylandA 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient’s diagnosis.https://escholarship.org/uc/item/2bd5015c
spellingShingle William L. Fernandez
Laura J. Bontempo
Zachary D.W. Dezman
50-year-old Male With Chest Pain
Clinical Practice and Cases in Emergency Medicine
title 50-year-old Male With Chest Pain
title_full 50-year-old Male With Chest Pain
title_fullStr 50-year-old Male With Chest Pain
title_full_unstemmed 50-year-old Male With Chest Pain
title_short 50-year-old Male With Chest Pain
title_sort 50 year old male with chest pain
url https://escholarship.org/uc/item/2bd5015c
work_keys_str_mv AT williamlfernandez 50yearoldmalewithchestpain
AT laurajbontempo 50yearoldmalewithchestpain
AT zacharydwdezman 50yearoldmalewithchestpain