MDM //

with history of tobacco abuse, otherwise healthy, p/w atypical chest pain, subacute worsening of chronic pain. No overt risk factors for ACS and serial EKGs and troponins without overt e/o NSTEMI. Pain reproducible on exam with likely musculoskeletal component. Low Wells score with low risk for PE and no significant hypoxia_. Given chronicity, low s/f dissection. Pain controlled, well appearing. Cautious return precautions discussed w/ full understanding. Prompt follow up with primary care physician discussed.



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