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Postgraduate Education Corner: Chest Imaging and Pathology for Clinicians |

Adult With Recurrent Chest Pain and VomitingAdult With Chest Pain

Anup Kumar Singh, MD, FCCP; Lohith Reddy, MD; Aamerra Khan, MD; Cholpady P. Kamath, MD; Vijay Das, MD
Author and Funding Information

From the Internal Medicine Residency Program (Drs Singh, Reddy, and Khan), Department of Anatomic Pathology (Dr Kamath), and Department of Pulmonary and Critical Care (Dr Das), Unity Health System, Rochester, NY.

Correspondence to: Anup Kumar Singh, MD, FCCP, Internal Medicine Residency Program, Unity Health System, 1555 Long Pond Rd, Rochester, NY 14626; e-mail: asingh@unityhealth.org


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(1):341-346. doi:10.1378/chest.12-0701
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Extract

A 52-year-old man was admitted to the hospital with 2 weeks of left-sided severe chest pain associated with persistent dry cough and dyspnea on exertion. There was no history of palpitations, syncope, orthopnea, paroxysmal nocturnal dyspnea, pedal edema, or fever. He started having projectile vomiting and dysphagia to solid foods after 2 days of admission. His medical history was significant for hypertension, which was treated with metoprolol, losartan, and amlodipine. He also had a history of 10 pack-years of smoking but no alcohol or drug use.

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