Headache, neck pain and chest pain in a 73-year-old male

Crystal is a synthetic substance with an increasing rate of abuse. It may cause patients to present to the emergency department because of its acute complications. We depict two cases of pneumomediastinum following inhalation of crystal. Both cases had used crystal for recreational purposes. In one case, a young man presenting to the ED with the retrosternal chest pain and neck pain was diagnosed to have pneumomediastinum and pneumopericardium. The other patient presenting with dyspnea and chest pain was shown to have collection of air within mediastinum. Both patients underwent a series of diagnostic evaluations and, after a course of observation, were discharged without a surgical intervention. Patients with chest pain following inhalation of crystal may suffer from this complication.

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Regional musculoskeletal conditions: making a working diagnosis

Oxford Handbook of Rheumatology ◽

10.1093/med/9780199587186.003.0002 ◽

2011 ◽

pp. 19-148

Author(s):

Alan J. Hakim ◽

Gavin P.R. Clunie ◽

Inam Haq

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chest Pain ◽

Neck Pain ◽

Peripheral Nerve ◽

Upper Limb ◽

Wrist Pain ◽

Spinal Disorders ◽

Nerve Lesions ◽

Peripheral Nerve Lesions

Introduction 20 Neck pain 22 Shoulder pain 30 Pain around the elbow 42 Wrist pain 48 Symptoms in the hand 54 Upper limb peripheral nerve lesions 66 Thoracic back and chest pain 72 Low back pain and disorders in adults 78 Spinal disorders in children and adolescents ...

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Influence of rurality on the awareness of myocardial infarction symptoms in the US

Therapeutic Advances in Cardiovascular Disease ◽

10.1177/1753944719891691 ◽

2019 ◽

Vol 13 ◽

pp. 175394471989169

Author(s):

Phoebe Tran ◽

Lam Tran

Keyword(s):

Chest Pain ◽

Neck Pain ◽

Urban Areas ◽

Early Recognition ◽

The United States ◽

Urban Residents ◽

The Us ◽

Symptom Awareness ◽

Weak Light ◽

The Impact

Background: Myocardial infarctions (MIs) are the leading cause of death in the United States (US). Differences in MI mortality rates exist between rural and urban areas in the US. Early recognition of MI symptoms can lead to receiving prompt lifesaving treatment. In this study, we identified the influence of living in a rural area, rurality, on disparities in MI symptom awareness across the US. Methods: We examined 2007 and 2009 Behavioral Risk Factor Surveillances System survey data using logistic regressions to model the impact of rurality on MI symptom awareness while controlling for sociodemographic and MI clinical factors. From the results of these models, we created a type of marginal probability, known as average adjusted predictions (AAPs) and the difference in AAPs, called average marginal effects (AMEs), to determine patterns of awareness for each MI symptom between rural, suburban, and urban areas. Results: We found that there were similar odds and probabilities of being aware of all five MI symptoms between rural, suburban, and urban areas, although rural residents consistently had a slightly higher odds and probability of being aware of all five MI symptoms compared with suburban and urban residents. Rural, suburban, and urban residents had the highest probability of being aware of chest pain/discomfort (95.5–96.1%) and the lowest probability of being aware of jaw/back/neck pain (68.6–72.0%). After adjustment, more than 25% of rural, suburban, and urban residents were found to be unaware that jaw/back/neck pain and feeling weak/light-headed/faint were symptoms of MI. AMEs were greatest for all areas for jaw/back/neck pain (−3.5% to −3.2%) and smallest for chest pain/discomfort (−0.6% to −0.2%). Conclusions: The study’s results highlight the need to increase awareness of the MI symptoms of jaw/back/neck pain and feeling weak/light-headed/faint to shorten hospital delay and time to treatment, especially for rural areas where cardiovascular disease mortality is high.

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