Case No. 27

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Case No. 27

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Chief Complaint:

28 year old with chest pain after eating

Published: May 24, 2017
Case No. 27
Author: Medzcool
CASE SCENARIO

A 28-year-old male with no medical history who presents with chest pain that has worsened over the past few months. There is a positional component to this chest pain in that it is worse when he lies flat. It is also worse after he eats and has been regurgitating undigested food. What are the expected diagnostic findings?

QUESTION

What are the expected diagnostic findings?

Diffuse ST-segment elevation and PR-interval depression
Beaklike lower esophageal sphincter and Dilated proximal esophagus
Inflammatory changes of the gastric mucosa
A positive troponin on labs