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Case Reports in Emergency Medicine
Volume 2014 (2014), Article ID 824786, 3 pages
http://dx.doi.org/10.1155/2014/824786
Case Report

Pleuritic Chest Pain in a Young Female: A Reminder for Acute Health Care Providers

1Saint Joseph Hospital, Department of Internal Medicine, 2900 North Lake Shore, Chicago, IL 60657, USA
2Saint Mary and Elizabeth Medical Center, Department of Emergency Medicine, 2233 West Division Street, Chicago, IL 60622, USA

Received 8 August 2014; Accepted 20 August 2014; Published 27 August 2014

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2014 Aibek E. Mirrakhimov et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chest pain is one of the most common reasons for emergency department visits. Emergency medicine doctors should focus their initial assessment on patients’ stability. History, physical examination, and ancillary testing should exclude serious causes such as acute coronary syndrome, acute aortic syndromes, pulmonary embolism, pneumothorax, esophageal perforation, and rupture as well as pericardial tamponade. Young age should not be used alone as a predictor of a benign condition. Below we present a case of a 24-year-old female who was found to have ascending aortic dissection and was sent for emergent surgery.