11yo boy, 3 weeks intermittent chest pain and intermittent # | Figure 1

nonharmful

Case Overview

11yo boy, 3 weeks intermittent chest pain and intermittent #Dyspnea. No fever. No cough. Diminished breathing sounds lower right. CRP < 1, normal blood gas, normal ECG. What's next? Antibiotics (mycoplasma?) or chest CT or CT angio (PE)?

Similar Cases

42yo male c/o chest pain and severe dyspnea made worse with exertion. Low 80's on room air other VS relatively normal aside from being a little tachy at times. No productive cough, chills or fever. Hx HTN and episodes of AFib in the past. Trop negative and DDimer 18.2. CT shows, "extensive emboli extending into segmental branches of all lobes."

classic case #chest-pain, #Tachycardia, low grade #Fever and "normal" chest #X-ray. Failure to respond to Z-pak given 7 days earlier at another facility

Pt seen Wednesday for lightheadedness. Presents with tachycardia + low 90s spO2. Normal CXR and elevated DDimer. Refused CT-Chest and left AMA. Brought back by his brother on Saturday after multiple syncopal episodes. Can you spot the pathology?

32 year old female awoke with left rib pain onset 2 hours prior to arrival to the ER. She has no other complaints, is not febrile, and oxygen is 100% on room air. WBC is normal, CXR is normal, but D-Dimer is .67. A CT angio of the chest was obtained. Thoughts?

Trending Now

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?