A young man with exertional chest discomfort

A young man with chest pain.

A man in his early 20s was admitted to the medical department of the local hospital because of almost two days of chest pain. The pain started in the centre of his chest and gradually moved over to the left. It was exacerbated by deep inhalation and lying on his left side. The patient had no other symptoms. Two weeks prior to admission he had had similar chest pain that had ceased spontaneously...

A 75-year-old man with chest discomfort and a cough.

use of multiple genetic markers. Int J Cancer 2004;108:91–6. 31. Sozzi G, Conte D, Mariani L, et al. Analysis of circulating tumor DNA in plasma as diagnosis and during follow-up of lung cancer patients. Cancer Res 2001;61:4675–8. 32. Esteller M, Sanchez-Cespedes M, Rosell R, et al. Detecting of aberrant promoter hypermethylation of tumor suppressor genes in serum DNA from non-small cell lung c...

Young Man with Chest Pain and Positive Cardiac Enzymes

Clinical History An 18-year old previously healthy man presented to an outside hospital emergency room with non-exertional, constant aching sensation in the center of his chest that was preceded by a 1 week history of “flu-like” symptoms. His presenting EKG demonstrated a concave ST segment elevation (Fig. 1) and his presenting cardiac enzymes were elevated (troponin 1.78 and CK-MB 65). A cardi...

Cystic Lung Disease in a Young man

A 32-year-old man was admitted in the Emergency Department with acute dyspnea secondary to spontaneous pneumothorax. He had history of spontaneous pneumothorax 2 years ago.He was active cigarette smoker (10 pack/year). The family history was unremarkable for lung diseases. Additionally, he had no systemic complaints.The lung HRCT revealed multiple bizarre-shaped cysts distributed in both lungs ...

Chest discomfort and abnormal chest radiograph.