307 results for “chest pain”
34y · Male·Haemopericardium due to dissecting thoracic aortic aneurysm
A 34-year-old man with a bicuspid aortic valve presented to ED twice on 5 September 2017 with chest pain. On both occasions, the ED was at full capacity ('Access Block'). He left without being seen both tim…
71y · Female·Haemothorax and haemopericardium secondary to ruptured dissecting aneurysm of th…
A 71-year-old woman with hypertension and prior myocardial infarction presented to emergency with sudden chest pain, jaw pain, and syncope. Aortic dissection was appropriately suspected and a contrast CT-aortagram was…
65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…
…erwent laparoscopic cholecystectomy, and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two ECGs were performed, both showing acute inferior myocardial infarction with…
50y · Male·coronary atherosclerosis
…istmas Island, rather than the standard comprehensive health induction assessment. The assessment included chest X-ray, blood work, and clinical screening, all of which appeared normal. He was transferred to mainland Au…
47y · Female·Cardiac arrhythmia due to severe coronary artery atherosclerosis
A 47-year-old woman presented to a level one rural hospital with chest pain. The doctor diagnosed muscular pain (99% certain) and discharged her without troponin testing or admi…
49y · Male·haemopericardium secondary to ruptured aortic dissection
… aortic dissection with haemopericardium. He presented to the ED twice within 24 hours with severe central chest pain radiating to jaw, neck, and back, associated with hypertension. Despite ongoing severe pain and famil…
37y · Male·Coronary artery thrombosis resulting from coronary atherosclerosis with contribu…
…d Aboriginal man with significant cardiac history (prior mitral valve replacement in 1996), presented with chest and right-sided pain, fever, and was assessed by ambulance officers on 29 February 2004. Despite observabl…
55y · Male·ruptured dissection of the thoracic aorta
…upture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 November 2010 and was transferred to Swan Districts Hospital wh…
84y · Female·Myocardial infarction
…84, died from myocardial infarction following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch block was not inves…
49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…
Wayne Mitchell, a 49-year-old man, presented to a clinic with acute chest pain radiating to his jaw, accompanied by dizziness, diaphoresis, and dyspnoea. His symptoms resolved befo…
38y · Male·metastatic lung carcinoma
…m metastatic lung carcinoma after a delayed diagnosis. Over three months, he presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. Despite multiple medical consultations and investigati…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
…resented at the time, but noted that pre-operative assessment failed to capture significant post-operative chest pain from his previous hernia surgery three months earlier. Had the anaesthetist known of this prior cardi…
50y · Male·coronary artery disease in the setting of double vessel coronary atherosclerotic…
…ed from coronary artery disease with double vessel disease and cardiomegaly. He had recently experienced a chest infection treated with antibiotics by his GP. On the morning of death, he reported severe chest symptoms t…
46y · Male·Haemopericardium complicating aortic dissection
A 46-year-old man with untreated hypertension and smoking history presented to the ED with acute chest pain radiating to jaw and back. ECG showed changes initially interpreted as NSTEMI with troponin elevation…
86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…
…chaemic heart disease, and atrial fibrillation. After his first hernia repair in June 2011, he experienced chest pain on multiple occasions, but this was not clearly documented in a format accessible to the anaesthetist…
39y · Male·acute myocardial ischaemia, coronary artery thrombosis and coronary artery ather…
… in prison custody. On 6 August 2017, he presented to the medical clinic with what prisoners identified as chest pain, but staff interpreted as throat or shoulder complaints. Communication difficulties due to his deafne…
68y · Male·Ischaemic heart disease and coronary artery atherosclerosis
…in prison custody. He presented to hospital with symptoms suggestive of acute coronary syndrome (epigastric pain radiating to back, chest pain, dyspnoea, sweating) but was diagnosed as alcohol withdrawal by the assessing…
47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …
…ant family history of early cardiac disease presented to a country hospital ED with acute crushing central chest pain (10/10), shortness of breath, and sweating after experiencing prodromal episodes over several days. T…
35y · Female·aortic dissection with associated acute aortitis
A 35-year-old Aboriginal woman with schizoaffective disorder presenting with acute psychosis and chest pain was appropriately referred for psychiatric assessment and retrieval. CareFlight transport was timely …
64y · Male·Complications of metformin toxicity on a background of undiagnosed renal impairm…
…before 2 January 2019, developing without obvious symptoms. On the morning of his death, he presented with chest pain and hypoglycaemia (BGL 1.4 mmol/L). Critical clinical errors included: failure to escalate care despi…
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