A 39-year-old otherwise healthy female with acute chest pain
Clinical introduction
An otherwise healthy 39-year-old female visited our emergency department because of acute chest pain worsening on breathing. The pain was more prominent on the left side of the thorax. Physical examination, routine laboratory testing and the ECG were normal. Troponin and d-dimer were in the normal range. Routine chest radiography and subsequently chest CT were performed (figure 1).
Question
What is the most likely cause of the acute chest pain?Acute myocardial infarction
Epipericardial fat necrosis
Pneumonia
Pulmonary infarction
For the question see page 540
For the answer see page 547
Source: Heart - Category: Cardiology Authors: Mohamed Hoesein, F. A. A., Swaans, M., van Es, H. W. Tags: Drugs: cardiovascular system, Image challenges, Acute coronary syndromes, Venous thromboembolism, Clinical diagnostic tests Source Type: research
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