Cardiac ACS •Crushing central chest pain •Radiates to neck/left arm •Associated nausea/SOB/sweatiness •Cardiovascular risk factors •May be normal •General: sweaty, SOB, in pain •CVS: S4 gallop, JVP distension, signs of heart failure, brady/tachycardic •ECG: ST elevation (or new LBBB), inverted T waves, Q waves •Troponin: increased (but normal in unstable angina) •CXR: normal or signs of heart f...

INTRODUCTION Although retrosternal abscess is a well known complication of sternotomy and intravenous drug abuse, to date it has not been described as a consequence of trigger point injections. There are reported cases of serious complications as a result of this procedure including epidural abscess, necrotizing fasciitis, osteomyelitis and gas gangrene. CASE PRESENTATION A 37-year-old Africa...

A 60-year-old man had noted exertional dyspnea and left anterior chest pain. A chest roentgenogram showed the presence of a giant mass and computed tomography (CT) of the chest confirmed the mass with an inhomogeneous density in the left hemithorax. A transthoracic TruCut needle biopsy of the mass showed benign fibrous tissue. The patient underwent a thoracotomy. A tumor arose from the visceral...

A 57-year-old man with hemodialysis-dependent end-stage renal disease presented with left upper quadrant abdominal pain, chills, and vomiting. He also noted a nonproductive cough of several days’ duration but reported no chest pain, dyspnea, fever, or hemoptysis. His history was remarkable for a gunshot wound to the left chest requiring a thoracotomy 20 years prior. He also had hypertension and...

A 57 year old, diabetic female presented in emergency department with atypical chest pain. Her physical examination was unremarkable. Routine blood and urine biochemistry were within normal limits. Electrocardiogram showed left bundle branch block, with nonspecific ST-T changes. Chest X-ray and 2D-echocardiogram revealed no abnormality. Coronary angiography demonstrated existence of only left a...

10 c.cm. each, up to 11th May without any improvement. On 11th May all treatment was stopped and 250 c.cm. of air were injected subcutaneously into the lower part of the left chest with the result that the haemoptysis was checked. The patient was ultimately discharged in a much improved condition on 9th October, 1936. Case II.?S. P. S., male, aged 22, admitted on 26th January, 1936, for the tre...

Case Studies Case 1 During an annual physical examination, a 12-year-old girl complains of intermittent chest pain for the past 5 days that localizes to the left upper sternal border. The pain is sharp and stabbing, is 5/10 in intensity, increases with deep breathing, and lasts for less than 1 minute. The patient has no history of fever, cough, exercise intolerance, palpitations, dizziness, or ...

Aneurysmal dilatation of segment of the left ventricle in the absence of coronary disease has been reported and termed diverticulum, which appears to be a congenital anomaly. A 56-year-old white female was admitted to our hospital with chest pain that has been intermittent over the past 1 month. The pain was described as exertional, substernal and pressure-like in quality, radiating to left arm...

Sclerosing hemangioma of the lung is extremely rare. Herein, a case of sclerosing hemangioma of the lung in a 44-year-old woman is reported. On admission, the patient complained of pain in the left lower neck and upper chest. Chest x-ray revealed a mass in lingular lobe of the left lung. The patient underwent surgery and a mass was removed through left posterolateral thoracotomy. Pathologic fin...

Peripheral primitive neuroectodermal tumor (pPNET) is a rare, very aggressive neoplasm that belongs to a small round cell tumor, and most often arises from the chest wall. Here, we report a female case with proven pPNET who was treated in our institution. She presented with a history of left side chest pain, cough, and significant weight loss. Contrast enhanced CT imaging of the chest showed m...