Author: Noordeen Sathakathulla, Gnanavadivel Singaravadivel / Editor: Nick Tilbury / Codes: CC11, CP1, SLO1 / Published: 04/01/2022
A 20-year-old male presents to the Emergency Department (ED) with intermittent central chest pain for the last 6 months. He is a smoker but has no significant past medical or surgical history. His main concern is that he is having a heart attack.
Initial observations are normal, and he has an unremarkable clinical examination.
ECG, venous blood gas and lab bloods including troponin are also all normal.
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Based on the available information, what is the most likely diagnosis at this point?
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What is the appropriate next step in the management of this patient?
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4 responses
Good case, a reminder about pneumomediastinum
VERY GOOD CASE! THANKS
Good case. I like that the title didn’t give the game away!
Great Revision