Evaluation of Chest Pain in the Young Adult

Evaluation of Chest Pain in the Young Adult

Donald F. Kreuz, MD FACC

Columbia Health Columbia University

New York, NY

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Outline

? Case Presentation ? Chest Pain & Etiologies

? Cardiovascular Disorders ? Pulmonary Disorders ? Gastro-intestinal Disorders ? Chest Wall Disorders ? Psychiatric/Psychogenic Disorders

? Case Review ? Summary

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Cases

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Case 1

? General

? 22yo, Man c/o L-sided chest pain x 1 day

? Present Illness

? Yesterday, c/o CP after standing up to leave class.

? Pain was sharp and severe but did not affect his breathing except if he took a deep breath.

? No sweating or dizziness. No prior episodes. ? Took a cab home to Bronx and slept.

? Today, feels a little better but still has the L-sided chest pain.

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Case 1

? Pertinent History

? Medications: none ? Past Medical/Mental Health: none ? Surgery/Procedures/Hospitalization: none ? Social History

? Denies smoking, drug-use ? Alcohol use - couple/month ? Exercise - Does not do much exercise. 6-8 hours/day on computer.

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