Case Presentation: A 36 year old female with a past medical history of hypothyroidism, type two diabetes, asthma, polycystic ovarian syndrome, and bipolar disorder presents with sharp chest pain that radiates to her left neck and arm. She states that the pain started suddenly when she was sitting 10 hours ago and gets worse with [...]

Case Presentation: Spontaneous coronary artery disease (SCAD)—an uncommon cause of coronary syndrome and sudden cardiac death—has been studied and described in greater detail in recent years. However, it still represents a diagnostic challenge with a high degree of uncertainty for proper management.A 37-year-old Hispanic female presented to the emergency department at another facility for sudden [...]

Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission.  The patient described the pain as sudden [...]

Case Presentation: A 15-year-old female was transferred to our facility with a complaint of worsening chest pain for the previous two weeks. The pain initially started in her shoulders and then spread to her substernal area. She had initially presented to the same facility three days previously and was discharged with a diagnosis of musculoskeletal [...]