Practice of Medicine

Claims Lesson

Atypical Chest Pain – Work 'Em up or Sign 'Em out?

November 26, 2013

The Case

A patient in his mid-thirties presented to the emergency department (ED) on a Friday afternoon, accompanied by his wife, to obtain an evaluation of the intermittent chest pain he had been having three days prior. According to the patient, he had been digging outside at work and had developed chest and epigastric pain. At the time, he broke out into a sweat and had a headache as well. He …

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