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Chest pain - admit

This patient presents with chest pain, with a history suggestive of  . No evidence of volume overload or shock on exam. EKG without signs of active ischemia. EKG without evidence of STEMI. Low suspicion for acute PE (Wells low risk  ), pneumothorax, thoracic aortic dissection, cardiac effusion / tamponade. Overall, ACS is being considered given higher risk features,  , history & physical. HEART score:  .

Patient will require admission for inpatient risk stratification and possible provocative testing.

Plan: cardiac monitor, EKG, troponins,CXR, ASA, heparin , pain control, reassess, Cardiology consult

from natedotphrase.com

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