NDLI: Chest Pain in an 18-Year-Old Man.

Please wait, while we are loading the content...

Chest Pain in an 18-Year-Old Man.

Content Provider	Semantic Scholar
Author	Abdelghany, Mahmoud Chaudhary, Arbind Liu, Kan
Copyright Year	2017
Abstract	An 18-year-old man presented to our hospital reporting sudden onset right-sided chest pain followed by dyspnea and syncope. On arrival of the emergency medical services, the patient was awake and in respiratory distress. He was afebrile with a blood pressure 95/66 mm Hg, heart rate 121 beats/min, respiratory rate 38 breaths/min, and oxygen saturation of 88% improved to 98% on 4-L oxygen supply. Heart sounds were normal with no significant murmur. Pulses were intact bilaterally. Lung examination revealed rapid, shallow breathing with decreased air entry. ECG is shown in Figure 1. iSTAT Troponin-I was 0.39 ng/mL (normal <0.08 ng/mL). What is the most appropriate next step? Figure 1. ECG showing sinus tachycardia with ST-segment elevation in leads II, III, aVF and reciprocal ST-segment depression in I, aVL. 1. Emergent cardiac catheterization 2. Portable chest x-ray 3. Thrombolytic therapy 4. Contrast esophagogram Please turn the page to read the diagnosis. The correct answer …
Starting Page	502
Ending Page	504
Page Count	3
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://circ.ahajournals.org/content/circulationaha/136/5/502.full.pdf?download=true
PubMed reference number	28760873v1
Alternate Webpage(s)	https://doi.org/10.1161/CIRCULATIONAHA.117.029897
DOI	10.1161/CIRCULATIONAHA.117.029897
Journal	Circulation
Volume Number	136
Issue Number	5
Language	English
Access Restriction	Open
Subject Keyword	Chest Pain Dyspnea Emergency medical service Heart failure Oxygen saturation test result Patients Portion of respiratory air Premature Cardiac Complex Respiratory distress Structure of parenchyma of lung Syncope breaths per minute
Content Type	Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Chronic digoxin toxicity and significantly elevated BNP levels in the presence of mild heart failure.

Flail Chest Resulting from a Rocket-type Firework

Humidified high flow nasal oxygen during respiratory failure in the emergency department: feasibility and efficacy.

Low-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failure.

When is a computed tomography angiogram necessary to rule out pulmonary embolus in the emergency department?

A Respiratory Distress Observation Scale for patients unable to self-report dyspnea.

Simultaneous Pancreatitis and Myocarditis in Childhood-Onset Systemic Lupus Erythematous.

A 67-year-old woman with abnormal lung perfusion scan finding.

54-year-old Woman with Chest Pain

Chest Pain in an 18-Year-Old Man.

Similar Documents

Chronic digoxin toxicity and significantly elevated BNP levels in the presence of mild heart failure.

Flail Chest Resulting from a Rocket-type Firework

Humidified high flow nasal oxygen during respiratory failure in the emergency department: feasibility and efficacy.

Low-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failure.

When is a computed tomography angiogram necessary to rule out pulmonary embolus in the emergency department?

A Respiratory Distress Observation Scale for patients unable to self-report dyspnea.

Simultaneous Pancreatitis and Myocarditis in Childhood-Onset Systemic Lupus Erythematous.

A 67-year-old woman with abnormal lung perfusion scan finding.

54-year-old Woman with Chest Pain

Chest Pain in an 18-Year-Old Man.