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Case of chest pain in a young man. | LitMetric

Case of chest pain in a young man.

BMJ Case Rep

Rhode Island Hospital, Providence, Rhode Island, USA.

Published: January 2018

AI Article Synopsis

  • A young man with a smoking history experienced sudden chest pain after weightlifting, along with neck tightness and voice changes.
  • Imaging tests showed soft tissue emphysema in his neck and pneumomediastinum, but he remained stable with no severe complications.
  • After monitoring for 48 hours and having resolved symptoms, he was discharged, and a follow-up chest radiograph showed normal results after 6 weeks.

Article Abstract

A young man with a history of smoking presented with acute-onset chest pain after lifting weights. He also noticed a change in his voice, tightness in his neck and difficulty breathing. A chest radiograph showed soft tissue emphysema in the neck. A CT scan of the chest revealed moderate amount of pneumomediastinum tracking into the neck and down to the diaphragm. He was haemodynamically stable and had no hypoxia or dysphagia. He was monitored for 48 hours and discharged home after resolution of his symptoms. A chest radiograph repeated after 6 weeks was normal.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780580PMC
http://dx.doi.org/10.1136/bcr-2017-222756DOI Listing

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