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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 27-Year-Old Man Presenting With Acute Chest Pain and Dyspnea

Ausami Abbas, BSc, MBBS; Nicola Richmond, MA, MBBS; David J. McCormack, BSc, MBBS; Bubbu Thava, BSc, MBBS; Sreenath Reddy, MBBS; Christopher W. H. Davies, MD; John E. Pilling, MBBS
Author and Funding Information

*From the Departments of Respiratory Medicine (Drs. Abbas, Richmond, and Davies) and Emergency Medicine (Drs. Thava and Reddy), Royal Berkshire Hospital Foundation Trust UK, Reading, UK; the Department of Cardiothoracic Surgery Kingdom (Drs. McCormack and Pilling), Guys & St. Thomas Hospital, London, UK.

Correspondence to: Ausami Abbas, BSc, MBBS, Department of Respiratory Medicine, Royal Berkshire Hospital Foundation Trust UK, London Rd, Reading RG1 5AN, UK; e-mail: drausami_abbas@msn.com


The authors have no conflicts of interest to disclose.

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


© 2009 American College of Chest Physicians


Chest. 2009;135(6):1684-1687. doi:10.1378/chest.08-2750
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Extract

A 27-year-old man presented to the emergency department with a 24-h history of dyspnea and right-sided chest pain. The pain was acute in onset, sharp in nature, worse on deep inspiration, did not radiate, and was not reproducible with palpation. There was no associated fever, cough, hemoptysis, or calf pain. The patient denied any history of recent trauma. His medical history included a left-sided acromioclavicular joint dislocation sustained in a road traffic accident that required open reduction 8 months prior to this presentation. The patient was not receiving therapy with any medications and denied smoking or illicit drug use.

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