Anatomy clinical correlates Quiz: Ace Your Exams
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56-year-old woman presents to the emergency department for evaluation of chest pain. Over the past week, the patient has been experiencing persistent chest pain, worsening with deep inhalation but not with exertion. The pain is described as “sharp,” and she states that she is also experiencing similar pain in her shoulders. Of note, she is currently receiving treatment for breast cancer. Past medical history includes hypertension, hyperlipidemia, and hyperthyroidism. Temperature is 37.0°C (98.6°F), pulse is 107/min, respirations are 19/min, blood pressure is 110/64 mmHg, and O2 saturation is 95% on room air. Physical examination demonstrates a thin female with moderate tachypnea. Pulmonary auscultation reveals diminished breath sounds at the lung bases bilaterally. Cardiac auscultation reveals hyperdynamic S1 and S2 without gallups, rubs, or murmurs. Musculoskeletal examination of the back and upper extremities is unremarkable. The patient’s initial electrocardiogram is demonstrated below. Which of the following is the most likely anatomic location of this patient’s pain?

Image reproduced from Wikimedia Commons

Image reproduced from Wikimedia Commons
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