Stoned

Cardiovascular System


Step 1: View Clinicals

{"ops":[{"insert":"A 38 year old man presents with left-sided tightening chest pain for 10 hours, with radiation to the neck. He also experienced a tingling sensation in his left arm and neck, and mild dyspnea and lightheadedness.\n\nHis medical history is significant for well controlled hypertension for 5 years. There is an extensive family history of ischemic heart disease, with his mother dying of a myocardial infarction in her early 50s.\n\nHe admits to inhaling cocaine and smoking marijuana about 30 minutes before the onset of the pain. He has a history of cocaine use for 10 years.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-089_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Cardiac Biomarkers
2. ECG
3. Portable Chest X-Ray
4. Urine Drug Screen

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