MEDICAL MYSTERY #1
A 48-year-old man develops sudden severe central chest pain after lifting heavy cases while moving house. The pain radiates to the back and both shoulders but not to either arm. The gentleman’s BP is 156/89 mmHg, pulse rate is 91 beats per minute and the ECG is normal. He is distressed and sweaty, but not nauseated. What is the most likely diagnosis?
- Myocardial Infarction
- Musculoskeletal pain
- Aortic dissection
- Pulmonary embolism
- Pneumothorax