Woman with fatigue, shortness of breath, and chest pressure

The Medicine Forum

Srinivasan MD, Sivakumar¹  Nandi MD, Neilanjan¹ 

[1] Thomas Jefferson University HospitalThomas Jefferson University HospitalThomas Jefferson University Hospital

关键词: Woman with fatigue;    shortness of breath;    and chest pressure;    Thomas jefferson university;    medicine forum;    philadelphia;    internal medicine residents;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

A 62 year-old African American female with past medical history significant for scleroderma, Raynaud’s phenomenon, and hypertension presented to the ED with 6 weeks of worsening fatigue, shortness of breath and a new onset of left sided chest pressure. Her outpatient medications included metoprolol 50 mg every 12 hours and nifedipine XR 90 mg once daily. On physical examination, the patient was noted to have a blood pressure of 189/62 mmHg and a pulse of 44 beats per minute. Her laboratory data including chemistry panel, complete blood count, and cardiac enzymes were unremarkable.

【 授权许可】

Unknown