Reference no: EM133510530
A 52-year-old male presents to the office with chest pain that started about 12 hrs ago. He describes it as a dull pain in the center of his chest. He denies nausea, palpitations, radiation, dizziness, or dyspnea. He took aspirin before bed but the pain was still there when he woke.
His medical history includes GERD and low back pain. He takes famotidine for the GERD and Ibuprofen as needed for the back pain. He reports he drinks 3-4 alcoholic drinks per night and more on the weekends. He denies tobacco use or illegal drug use. He has no allergies.
Family history: father deceased age 62 MI. Mother deceased age 90, natural causes, one sister with type 2 Diabetes.
Patient appears well developed and well-nourished. BP 138/88, P 90, RR 16. Temperature 97.6. General physical exam reveals no abnormalities.
ECG performed in the office reveals sinus rhythm with non-specific T-wave changes in leads II, III, and aVF.
1. Discuss the differential diagnoses you are considering and treatment plan for this patient.