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a rare but lethal cause of chest pain：一种罕见但致命的胸部疼痛的原因
The Journal of Emergency Medicine, Vol. -, No. -, pp. 1–5, 2015
Copyright 2015 Elsevier Inc.
Printed in the USA. All rights reserved
0736-4679/$ - see front matter
Case Presentation of the Harvard Emergency
Medicine Residencies Ethics
A RARE BUT LETHAL CAUSE OF CHEST PAIN
*
R. Eleanor Anderson, MD, † Susan Wilcox, MD,†‡ and Emily S. Miller, MD†‡
*Department of Emergency Medicine, Massachusetts General Hospital and Brigham and Women’s Hospital, †Department of Emergency
Medicine, Harvard Medical School, and ‡Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts
Reprint Address: Emily S. Miller, MD, Department of Emergency Medicine, Massachusetts General Hospital, Zero Emerson Place, Suite 3B,
Boston, MA 02114
Dr. Eleanor Anderson: The case we will discuss today is Dr. Susan Wilcox: Was the patient able to provide any
that of a 60-year-old man who presented to our emergency more information about the onset and progression of his
department (ED) on New Year’s Day, in transfer from a symptoms?
referring hospital, with the chief complaint of chest and Dr. Eleanor Anderson: On arrival to our ED, the pa-
back pain. The patient’s symptoms had started earlier in tient’s ability to provide a history was li
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