Dr. Mahesh Mareddy (Emergency Medicine) needs a second opinion on this medical case.
A 37-year-old male presented to the ED with two days of chest pain . constant, rated at a level of 3 (on a scale of 0 to 10), and slightly worsening on deep inspiration. He described increased shortness of breath with exertion and a cough productive of clear sputum but denied fevers, chills, nausea, lightheadedness or sweating.
The patient was a pale, obese male who appeared in no acute discomfort
.temp - 97.5◦F ,1
BP 102/72 mmHg
Rs : Rales at the lung bases bilaterally
P/a Soft, nontender, nondistended.
TLC 18 K/μL with 90% neutrophils,
hematocrit - 31%
creatinine - 1.5 mg/dL
troponin I - normal