A Marijuana User With Sudden Chest Pain Radiating to His Neck
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An 18-year-old with no significant medical history presents to the emergency department with sudden-onset chest pain that awakened him from sleep at 4 AM. The pain is located in the midsubsternal region and radiates to his neck. The patient describes it as a sharp pain; when asked to rate the pain on a scale of increasing severity from 1 to 10, he states that it is an 8. The pain worsens with inspiration and is associated with shortness of breath.
The patient denies having any fevers, chills, cough, hemoptysis, nausea, or vomiting. He has not had any recent trauma or surgeries. The patient has an 8–pack-year history of smoking cigarettes. He describes occasional marijuana use and remote experimentation with inhaled methamphetamines. He states that he does not use alcohol. He is not currently taking any medications and does not have any known allergies to medications.
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Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Ingrid Chen, Dieu-Thu Nguyen-Khoa. A Marijuana User With Sudden Chest Pain Radiating to His Neck – Medscape – Jun 11, 2021.
Resident Physician, UCLA-Olive View Internal Medicine Residency Program, Department of Internal Medicine, Olive View-UCLA Medical Center, Los Angeles, California
Disclosure: Ingrid Chen, MD, has disclosed no relevant financial relationships.
Assistant Clinical Professor, David Geffen Medical School at UCLA; Attending Physician, Department of Medicine, Olive View-UCLA Medical Center, Los Angeles, California
Disclosure: Dieu-Thu Nguyen-Khoa, MD, has disclosed no relevant financial relationships.
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A Marijuana User With Sudden Chest Pain Radiating to His Neck
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