A Young Man with Chest Pain: When POCUS Makes the Difference

Pneumothorax is a life-threatening condition that must be ruled out in patients presenting with pleuritic chest pain or undifferentiated dyspnea. In rural settings, where imaging access is often limited, POCUS offers a powerful alternative.

Posted in: chest pain 6 POCUS 57

Original Article

Real-World Evaluation of a Chest Pain Digital Triage Platform at the Point of Care

Objectives: The triple aim of population health focuses on providing the right care to the right patient at the right time. Patient use of digital health tools may reduce the overuse of emergency services. We tested the safety and clinical applicability of a patient-facing, automated digital urgent care triage tool…

Posted in: chest pain 6

Case Report

Aortic Dissection Presenting as Uniocular Blindness

A patient presented with uniocular blindness and headache, which was initially suspected to be subarachnoid hemorrhage. The patient had a seven-year history of diabetes mellitus, hypertension and hypothyroidism, as well as a two-year history of congestive cardiac failure with aortic regurgitation. Upon autopsy, the patient was diagnosed with aortic dissection….

Posted in: chest pain 6 Hypertension 41

Original Article

How to Improve the Management of Chest Pain: Hospitalists and Use of Prediction Rules

Background: Three percent of patients with acute myocardial infarction are still missed despite the excess number of admissions with chest pain. The purpose of this study was to review the characteristics of patients who were admitted with chest pain, to evaluate the appropriateness of admissions and the outcomes. We also…

Posted in: acute coronary syndrome 8 chest pain 6 hospitalist 6

Case Report

Pneumothorax Secondary to Acupuncture Therapy

A 27-year-old medical student seeking acupuncture therapy for a right levator scapular muscle spasm developed acute dyspnea, chest pain, and nonproductive cough within minutes following the treatment. The patient was later diagnosed with a 30% pneumothorax of the right lung. Pneumothorax is a well-known adverse effect of medical procedures such…

Posted in: acupuncture 5 chest pain 6 dyspnea 6 pneumothorax 5

Case Report

Acute Rheumatic Fever Presenting as Unstable Angina

The most common presentation of acute rheumatic fever in adults is a febrile illness with an additive or migratory polyarthritis that is present on average in 92%; of patients (range, 43–100%), or tenosynovitis usually of the wrists and ankles (67%. 1,2 Carditis, present in 15 to 35% of patients, is…

Posted in: chest pain 6
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