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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 35-Year-Old Patient With Midscapular Pain and HypertensionA 35-Year Old Patient With Midscapular Pain

Matthew Rapp, MD; Jenny Martino, MD, MSPH; Gilman B. Allen, MD
Author and Funding Information

From the Departments of Internal Medicine (Dr Rapp), and Pulmonary and Critical Care Medicine (Drs Martino and Allen), Fletcher Allen Health Care, Burlington, VT.

Correspondence to: Gilman B. Allen, MD, Department of Pulmonary and Critical Care Medicine, Fletcher Allen Health Care, HSRF 220, Burlington, VT 05405; e-mail: gil.allen@uvm.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(1):258-261. doi:10.1378/chest.10-2697
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Extract

A 35-year-old man with a history of severe scoliosis requiring Harrington rod placement and prior abdominal surgery presented to the ED with a complaint of 10/10 midscapular back pain radiating to the left lower chest wall. He also reported intermittent diaphoresis, lightheadedness, and nausea, but denied shortness of breath, abdominal pain, or fevers. He noted a recent history of heavy lifting but denied any injury or trauma to his back.

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