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Clerkshift

A case from the library

Headache, vomiting and chest heaviness in a 23-year-old man

Emergency MedicineHard

Kevin Doyle

23 years · Male

Vitals

Heart rate
87 bpm
Blood pressure
178/103 mmHg
Resp. rate
26 /min
SpO₂
94%
Temperature
102 °F

How hard it is

A rare condition, or a common one presenting unusually. The standard questions and tests won't get you there; you'll need to spot what doesn't fit.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in Oxford Medical Case Reports, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.