Clinical Pathologic Conference: A 65-year-old Male With Left-Sided Chest Pain. A Case of an Unexpected Occupational Hazard

Authors

  • Daniel J. Egan MD,

    1. From the Department of Emergency Medicine, St. Luke’s Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons (DJE), New York, NY; and the Department of Emergency Medicine, Boston Medical Center, Boston University School of Medicine (JRP), Boston, MA.
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  • Joseph R. Pare MD

    1. From the Department of Emergency Medicine, St. Luke’s Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons (DJE), New York, NY; and the Department of Emergency Medicine, Boston Medical Center, Boston University School of Medicine (JRP), Boston, MA.
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  • Presented at the Society for Academic Emergency Medicine annual meeting, June 2011, Boston MA. Semifinal competition Division 1 case winner.

  • The authors have no relevant financial information or potential conflicts of interest to disclose.

  • Supervising Editor: Mark Mycyk, MD.

Address for correspondence and reprints: Daniel J. Egan, MD; e-mail: daegan@chpnet.org.

Abstract

ACADEMIC EMERGENCY MEDICINE  2012; 19:e1–30 © 2012 by the Society for Academic Emergency Medicine

Abstract

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.

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