Clinical pathologic conference: A 65-year-old male with left-sided chest pain. A case of an unexpected occupational hazard.
The authors present a case of a 65-year-old male who presented four times to the emergency department (ED) with left-sided chest pain. On the first three visits, the patient was admitted with a different diagnosis related to his chest pain. On the final visit, an abnormality on an imaging study performed in the ED led to the ultimate diagnostic test revealing the cause of the patient's symptoms. The patient's clinical presentation and ultimate clinical course are summarized, and a discussion of the differential diagnoses of his condition is presented.
Department of Emergency Medicine, St. Luke's Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York, NY, USA. daegan@chpnet.org
Daniel J
DJ
Egan
Joseph R
JR
Pare
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001025:Aortitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D015415:Biomarkers / Q000032:analysis; D002637:Chest Pain / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D013587:Syphilis / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D015415:Biomarkers; D010401:Penicillin G Benzathine