Case Presentations of the Harvard Affiliated Emergency Medicine Residencies: A Woman in Severe Pain

Dr. Carrie Walsh: Today's case is a case of a 55-year-old woman who presented with sudden onset, 10/10 chest pain, radiating to the left shoulder, back and jaw, which started approximately 1 h prior to presentation. The patient was on shift as a nurse in a rehabilitation facility when the pain began. The emergency medical services (EMS) crew reported that her colleagues took a blood pressure and when it was found to be elevated they administered the home dose of her antihypertensive, amlodipine. She denied accompanying shortness of breath, diaphoresis, and nausea. The patient does not take any hormonal supplements and denied recent prolonged periods of immobilization or recent travel.