26 year old thai male
nil past medical history
presents with atypical chest pain of 2 days duration
dull in nature, persistent, does not change with position or activity
no radiation
not relieved by rest or sleep or GTN patches
interferes with work and sleep
asw SOB and heavy breathing, although RR not increased.
ECG shows pathological J waves
CXR shows cardiomegaly
MX:
rest in bed
analgesia
keep INo2 more than 100%
KIV heart and brain transplant cm after team r/v
Think i handled this one really badly... back to my cave man... back to the cave we go.... till this ice age's past, and the world has run out of snow. Till the world's ending, n the need has past for us to stop shielding, hiding, defending.
