MDM //

with atypical chest discomfort and now resolved palpitations in the setting of Adderall_ use. No overt risk factors for early cardiac disease; no family history of early cardiac death. Patient well appearing, nontoxic. Low Wells score with low s/f PE; no overt hypoxia. Given history and exam, low suspicion for ACS, dissection, or pneumothorax. Discussed cessation of Adderall_ and follow up with PMD for further evaluation as needed. Cautious return precautions discussed w/ full understanding.



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