B.S.

DOB: 12/25/1992

GENDER: Female

Race: Caucasian

RELIGION: Catholic

MARITAL STATUS: Single

OCCUPATION: College Student

CHIEF COMPLAINT: "I am scared. I feel like I can't catch my breath and my chest hurts."

Differential Diagnosis: There are a number of differential diagnoses for these presenting symptoms. The major ones will be explored here.

Possible Diagnosis

Myocardial infarction (MI), angina, acute coronary syndrome

Prodromal symptoms include fatigue, chest discomfort, or malaise in the days before the MI. A typical STEMI may occur without warning. Onset is not directly associated with severe exertion but concomitant with exertion. Other symptoms include: anxiety, light-headedness with or without syncope, nausea or indigestion, cough, diaphoresis, and/or wheezing.

Physical Exam: Physical symptoms can be variable. The typical chest pain of an acute MI is intense and continuous for 30-60 minutes, retrosternal, and may radiate up to the neck, shoulder, and jaw and down to the ulnar aspect of...
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