SAQ 1816 – Pleuritic central chest pain with ECG changes

Marked out of 10.00

A 36-year-old man presents to ED with 3 hours of gradual-onset central chest discomfort. The pain is heavy, worse on deep inspiration and radiates to his back. He smokes, denies recreational drug use, has no significant medical history, and his father had an MI at age 62 years. His ECG is shown below.

ECG from the source question in a patient with chest pain
ECG from the source question.

List your two most likely differential diagnoses.

(Marked out of 2.0)


/ 2

List three investigations that could help differentiate between these two possible diagnoses, with justification for each.

(Marked out of 6.0)


/ 6

Name two treatment interventions you would start for one possible diagnosis.

(Marked out of 2.0)


/ 2

Total Score: 0 / 10

Percentage: 0%