Sudden severe chest pain: an atypical presentation of an infective exacerbation of COPD

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dc.contributor.authorGutman, Arlene
dc.contributor.authorTellios, Nikoleta
dc.date.accessioned2024-10-11T14:31:11Z
dc.date.available2024-10-11T14:31:11Z
dc.date.issued2021
dc.description.abstractPresentation: A 59-year-old female, recent ex smoker, with a history of COPD and anxiety, presents to her GP with acute onset sharp chest pain, associated with dyspnea, diaphoresis and palpitations. On examination tachycardia, tachypnea and rhonchi were noted in the absence of fever and crepitations. Differential Diagnosis: Her presentation raises suspicion for several conditions that require urgent treatment, including AMI, PE and pneumothorax. Few indicators of infection were present initially. Investigations: Given the risk of life-threatening conditions included in the differential diagnosis, hospital work-up was warranted. Investigations for AMI, PE, and pneumothorax were negative. Further investigations and development of the clinical course led to the conclusion of a diagnosis of IECOPD. Conclusion: Presentations of IECOPD can be diagnostically difficult. Although painis not usual in IECOPD and pyrexia is common, this case illustrates the absence of such features in the presence of additional atypical features. Furthermore, acute chest pain often requires hospital investigation even if the ultimate diagnosis may be managed by the GP.en
dc.description.statusPeer-revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGutman, A. and Tellios, N. (2021) 'Sudden severe chest pain: an atypical presentation of an infective exacerbation of COPD', UCC Student Medical Journal, Vol. 2, pp. 83-87. https://doi.org/10.33178/SMJ.2021.1.9en
dc.identifier.doi10.33178/SMJ.2021.1.9
dc.identifier.endpage87
dc.identifier.issn2737-7237
dc.identifier.journalabbrevUCC SMJ
dc.identifier.journaltitleUCC Student Medical Journalen
dc.identifier.startpage83
dc.identifier.urihttps://hdl.handle.net/10468/16554
dc.identifier.urihttps://journals.ucc.ie/index.php/smj/article/view/4314
dc.language.isoenen
dc.publisherUCC Medical Research and Technology Societyen
dc.relation.urihttps://journals.ucc.ie/index.php/smj/article/view/4314/6481
dc.rights© 2019, the Author(s). This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0
dc.sourceBatch uploaden
dc.subjectCOPDen
dc.subjectInfectious exacerbationen
dc.subjectChest painen
dc.titleSudden severe chest pain: an atypical presentation of an infective exacerbation of COPDen
dc.typePeer-reviewed Articleen
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