A 53-year-old female presents to the Emergency Department complaining of acute left substernal chest pain that started more than thirty minutes ago, radiating to her jaw, 8/10 intensity, sharp in quality and is not relieved with two sprays of nitroglycerin. The patient also states she had two episodes of vomiting, some shortness of breath but no associated headache or visual changes. There is a past medical history significant for hypertension, and the patient is using a hypertensive medication prescribed in Mexico.
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A 46-year-old female with history of alcohol abuse presented to the emergency department with a complaint of general weakness, cramps all over the body and an inability to open her mouth, which prevented her from taking in any food in the last two days. The patient denied trauma, recent illicit drug use, or use of any prescription medications. Her tetanus immunizations were complete and up to date. (Full case and answer here)
The patient is a 61-year-female complaining of right leg pain after being bitten by the dog of a neighbor. While attempting to get away from the dog she fell on her left side. The patient also complains of mild left groin pain, and reports mild pain in her left hip with ambulation. She denies any other complaints
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