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Question
A 60 year old female with history of chronic smoking, unhealthy eating habits, and who is currently on insulin injections comes into the ER with extreme chest pain that is radiating down her left arm. What could be happening, and what is the most likely cause?Possible venomous snake bite to left arm causing the pain, and triggering a heart attack. High insulin levels and smoking have led to damaged blood vessels and atherosclerotic plaque. The plaque could have broken off and lodged itself in a coronary artery leading to an acute MI. Heartburn could be causing the chest pain, and the female said she had just gotten done eating a Big Mac before the pain set in. She is having an allergic reaction that is causing vasoconstriction, leading to chest pain.
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