TTLWHKR
Forum Deputy Chief
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Scenario
23 y/o Male Patient
States he had a sudden, dull pain in his back, just below the shoulder blades; almost like he was struck with a blunt object. Pain went away with in a few seconds, during the time he felt the pain, he had sudden SOB, and inability to inhale; and suffered a momentary loss of consciousness. After pain subsided, he began to have mid-sternal chest pain that recur at regular intervals. Heart rate in the mid 80's, respiratory rate 20, bp 120/80. No history, and takes no medications. When pain begins, heart rate can vary anywhere from 90 to 140. BP elevates to around 140/90. resp rate remain the same. Other than slight tachycardia with pain, EKG shows normal sinus rhythm. O2 Sat 96% on room air. No sign of injury, at the time the pain began, patient was walking at a slow pace. No diaphoresis; skin is warm & pink.
What could be wrong?
23 y/o Male Patient
States he had a sudden, dull pain in his back, just below the shoulder blades; almost like he was struck with a blunt object. Pain went away with in a few seconds, during the time he felt the pain, he had sudden SOB, and inability to inhale; and suffered a momentary loss of consciousness. After pain subsided, he began to have mid-sternal chest pain that recur at regular intervals. Heart rate in the mid 80's, respiratory rate 20, bp 120/80. No history, and takes no medications. When pain begins, heart rate can vary anywhere from 90 to 140. BP elevates to around 140/90. resp rate remain the same. Other than slight tachycardia with pain, EKG shows normal sinus rhythm. O2 Sat 96% on room air. No sign of injury, at the time the pain began, patient was walking at a slow pace. No diaphoresis; skin is warm & pink.
What could be wrong?