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Showing posts from January, 2022

A 72 yr old female with chest pain radiating to left arm

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 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those clinical problems with collective current best evidence based inputs. HISTORY OF PRESENTING ILLNESS A 72 year old female came to casuality with chief complaints of fever, vomitings, chest pain radiating to left side since two  days. Patient was apparently asyptomatic 2 days back later she developed fever which was low-grade, continuous  and relieved on taking medication and not associated with chills and rigor. She developed chest pain which was pricking type radiating to left arm associated with chest tightness and sweating. She had episode of vomiting which was non projectile,non bilious ,non foul smelling , containing food particles. PAST HISTORY  In 2007 she had NSTEMI and diagn