Case Presentation: A 50-year-old woman with history of ESRD on PD, CHF, and recent invasive pulmonary aspergillosis on posaconazole presents with three days of gradually progressive shortness of breath and right-sided chest pain. The chest pain was associated with coughing and deep breathing, but non-exertional with no hemoptysis. The patient lived with her sister and […]

Case Presentation: A previously healthy 29-year-old woman was diagnosed with end-stage renal disease of unknown etiology and initiated on daily peritoneal dialysis. Patient reported poor compliance with this treatment regimen and, five months later, presented to the emergency department with non-productive cough and pleuritic chest pain. She was found to have left upper lobe pneumonia […]

Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, […]

Case Presentation: A 68 year-old Spanish-speaking female with PMH of type 2 diabetes mellitus, GERD, and tobacco use presented to the Emergency Department (ED) with one day of acute-onset substernal chest pain associated with nausea/vomiting and bilateral arm numbness L>R. Initial workup revealed CXR with mass-like opacity in the right upper lobe, high sensitivity troponin […]

Background: Chest pain is a common chief complaint among adult patients presenting to emergency departments. An assessment of chest pain management at the institution noted significant variability in provider treatment patterns for chest pain. While a NSTE-ACS protocol existed, there was varied use and inconsistent adoption. Review of pre-intervention data demonstrated that some emergency medicine […]

Case Presentation: A 28-year-old male patient presented to the hospital with central, non-radiating, moderate-intensity chest pain that started four days after his second dose of Pfizer-BioNTech COVID-19 vaccine. The patient had neither any prior history of SARS-COV2 infection nor known exposure to a symptomatic patient. He denied any fever, chills, diaphoresis, upper or lower respiratory […]