MDM //

p/w atypical chest pain, subacute onset of atypical chest pain. No overt risk factors for ACS aside from HLD_ and EKG w/o overt e/o acute ischemia. Pain reproducible on exam with likely musculoskeletal component. Low Wells score and PERC negative with low risk for PE and no significant hypoxia. Given duration, 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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