A 62-year-old male is admitted to the hospital with a chief complaint (CC) of lower chest pain and epigastric pain for 5 hours. The abdominal pain is reminiscent of an episode of pancreatitis 5 years ago. The chest discomfort is intermittent and occurs with deep inspiration, described as "pressure like". The abdominal pain is sharp and burning in nature and there are no other associated symptoms. The patient reports no radiation, nausea, vomiting, diarrhea or constipation (N/V/D/C), shortness of breath (SOB) or sweating. The onset of the symptoms was during rest and light activity.
The pain is described as 5/10 on 0-10 scale. History Diabetes type 2 (DM 2), pancreatitis, hypertension (HTN), peripheral vascular disease (PVD). Medications Pioglitazone, pentoxifylline atenolol, triamterene and hydrochlorothiazide. Have performed ECG but only indication is old inferior wall of MI. What can…
