Abstract:A 55-year-old man with a history of hypertension complains of substernal chest pain that started approximately 90 min ago during a bowel movement. The pain radiates to his back with diaphoresis and nausea. He does not have a history of ulcers, gastritis or previous coronary disease and does not take nonsteroidal anti-inflammatory drugs. His vital signs are normal and his examination is notable only for diaphoresis. An ECG is done in triage showing 2 mm ST elevations in leads II, III and aVF.
QUESTION 1What dia… Show more
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