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A 24-year-old female with no significant PMH presents to the…

Posted byAnonymous September 6, 2024September 21, 2024

Questions

A 24-yeаr-оld femаle with nо significаnt PMH presents tо the Emergency Department for chest pain that began approximately 1 hour ago. She denies any trauma to the chest and describes the pain as a "pressure-like" sensation affecting the middle of the chest. She has no medical history and takes oral contraceptive pills. A few hours ago she attended a party where she was smoking crack cocaine and subsequently developed this chest pain. BP 176/104 mmHg, HR 108/min, and RR 18/min with pulse ox of 99% on room air. Chest auscultation is unremarkable. An electrocardiogram is obtained (see image below).  Based on these findings, what is the diagnosis for this patient?       

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