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What is the diagnosis for a 58-year-old male presenting with sudden-onset shortness of breath and sharp right-sided pleuritic chest pain?
What is the diagnosis for a 58-year-old male presenting with sudden-onset shortness of breath and sharp right-sided pleuritic chest pain?
A clinical vignette challenging the reader to diagnose a 58-year-old male presenting with sudden-onset shortness of breath and pleuritic chest pain.
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Encourages active diagnostic reasoning for acute pleuritic pain; leaves open the educational value of unresolved case abstracts.
A 58-year-old male presented to the emergency department in August 2015 with sudden-onset shortness of breath associated with sharp right-sided pleuritic chest pain. His only past medical history was of hypertension. Prior to this presentation he had been clinically well and was fully independent. He was a smoker with a 40 pack-year history. He did not drink alcohol and had no recent travel history. Can you diagnose this case of a 58-year-old male with sudden-onset shortness of breath associated with sharp right-sided pleuritic chest pain? <http://ow.ly/HLmk30j4DEH>
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Price et al. (2018) studied this question.
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