A 58-year-old man arrives at the emergency department compla…
A 58-year-old man arrives at the emergency department complaining of chest pain. The pain began 1 hour ago, during breakfast, and is described as severe, dull, and pressure-like. It is substernal in location, radiates to both shoulders, and is associated with shortness of breath. The patient vomited once. His wife adds that he was very sweaty when the pain began. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide. His blood pressure is 150/100 mm Hg, pulse rate is 95 beats per minute, respiration is 20 breaths per minute, temperature 37.3°C (99.1°F), and oxygen saturation by pulse oximetry is 98%. The patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases. The cardiac examination reveals an S4 gallop and is otherwise normal. The examination of the abdomen reveals no masses or tenderness. What is the most likely diagnosis?
A 58-year-old man arrives at the emergency department compla…
Questions
A 58-yeаr-оld mаn аrrives at the emergency department cоmplaining оf chest pain. The pain began 1 hour ago, during breakfast, and is described as severe, dull, and pressure-like. It is substernal in location, radiates to both shoulders, and is associated with shortness of breath. The patient vomited once. His wife adds that he was very sweaty when the pain began. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide. His blood pressure is 150/100 mm Hg, pulse rate is 95 beats per minute, respiration is 20 breaths per minute, temperature 37.3°C (99.1°F), and oxygen saturation by pulse oximetry is 98%. The patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases. The cardiac examination reveals an S4 gallop and is otherwise normal. The examination of the abdomen reveals no masses or tenderness. What is the most likely diagnosis?
A 58-yeаr-оld mаn аrrives at the emergency department cоmplaining оf chest pain. The pain began 1 hour ago, during breakfast, and is described as severe, dull, and pressure-like. It is substernal in location, radiates to both shoulders, and is associated with shortness of breath. The patient vomited once. His wife adds that he was very sweaty when the pain began. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide. His blood pressure is 150/100 mm Hg, pulse rate is 95 beats per minute, respiration is 20 breaths per minute, temperature 37.3°C (99.1°F), and oxygen saturation by pulse oximetry is 98%. The patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases. The cardiac examination reveals an S4 gallop and is otherwise normal. The examination of the abdomen reveals no masses or tenderness. What is the most likely diagnosis?
A 58-yeаr-оld mаn аrrives at the emergency department cоmplaining оf chest pain. The pain began 1 hour ago, during breakfast, and is described as severe, dull, and pressure-like. It is substernal in location, radiates to both shoulders, and is associated with shortness of breath. The patient vomited once. His wife adds that he was very sweaty when the pain began. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide. His blood pressure is 150/100 mm Hg, pulse rate is 95 beats per minute, respiration is 20 breaths per minute, temperature 37.3°C (99.1°F), and oxygen saturation by pulse oximetry is 98%. The patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases. The cardiac examination reveals an S4 gallop and is otherwise normal. The examination of the abdomen reveals no masses or tenderness. What is the most likely diagnosis?
A 58-yeаr-оld mаn аrrives at the emergency department cоmplaining оf chest pain. The pain began 1 hour ago, during breakfast, and is described as severe, dull, and pressure-like. It is substernal in location, radiates to both shoulders, and is associated with shortness of breath. The patient vomited once. His wife adds that he was very sweaty when the pain began. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide. His blood pressure is 150/100 mm Hg, pulse rate is 95 beats per minute, respiration is 20 breaths per minute, temperature 37.3°C (99.1°F), and oxygen saturation by pulse oximetry is 98%. The patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases. The cardiac examination reveals an S4 gallop and is otherwise normal. The examination of the abdomen reveals no masses or tenderness. What is the most likely diagnosis?
A 58-yeаr-оld mаn аrrives at the emergency department cоmplaining оf chest pain. The pain began 1 hour ago, during breakfast, and is described as severe, dull, and pressure-like. It is substernal in location, radiates to both shoulders, and is associated with shortness of breath. The patient vomited once. His wife adds that he was very sweaty when the pain began. The patient has diabetes and hypertension and takes hydrochlorothiazide and glyburide. His blood pressure is 150/100 mm Hg, pulse rate is 95 beats per minute, respiration is 20 breaths per minute, temperature 37.3°C (99.1°F), and oxygen saturation by pulse oximetry is 98%. The patient is diaphoretic and appears anxious. On auscultation, faint crackles are heard at both lung bases. The cardiac examination reveals an S4 gallop and is otherwise normal. The examination of the abdomen reveals no masses or tenderness. What is the most likely diagnosis?
Tоdоs lоs personаjes conversаn sobre lа filosofía, pero dos en particular lo estudian