Male With Chest Pain

Chest pain in an adolescent male

A 15-year-old boy was referred to our emergency department for evaluation of subcutaneous emphysema. The patient had presented with gradual onset of dull resting chest pain lasting for almost an hour. The nature of the pain subsequently changed to sharp and radiated to his throat. He had undergone a chest X-ray at the outside emergency department which was remarkable for subcutaneous emphysema....

A 29-year-old male with chest pain and haemoptysis.

Physical examination did not reveal any abnormalities. Laboratory investigations showed elevated inflammatory markers, including an erythrocyte sedimentation rate level of 59 mm?h and a C-reactive protein level of 53 mg?L, normal haemoglobin at 139 g?L and leukocytosis of 14.6610?L with a predominance of neutrophils. Chest radiograph was normal. Computed tomography (CT) pulmonary angiography co...

A 29-year-old male with right-sided chest pain.

Chest Pain

اغلب بیماران می پندارند که درد قفسه (Chest Pain) نشانگر به سکته قلبی است. البته الزاماً این طور نیست، درد ممکن است منشا ریوی، معده - روده ای، روانی یا ماهیچه ای - استخوانی داشته باشد، وقتی دو مورد و یا بیشتر از آن با هم همراه شوند، علائم بروز می کند. همه اینها تشخیص درد سینه را مشکل می سازد. فقط با جداکردن علائم فردی و بیماریهای مربوط به آن می توانید یک تصویر تشخیصی معین و واضحی را ترسیم کنید. 

Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome

Acute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest pain with cardiac enzyme elevation in adolescent population is usually viral myopericarditis. The ...