a low level exception occurred in reduce noise v4

Bedside electrocardiogram demonstrates sinus tachycardia, ST-segment elevations, and occasional premature ventricular contractions. His lung exam is noteworthy for diffuse crackles. His physical exam reveals tachycardia, hypertension, cyanosis, cool and moist skin, diaphoresis, an S3 gallop, and evidence of painful respiratory distress. He denies chills, abdominal pain, diarrhea, cough, and pleurisy. He notes that he has had a 1-week history of similar, recurrent chest pain of about 10 minutes duration that has been occurring following exposure to the cold weather and following consumption of a meal. Additionally, he admits to shortness of breath, nausea, productive cough with a frothy sputum, and profound diaphoresis. Question Which of the following is the most accurate diagnostic modality for diagnosing this patient's condition?Ī 68-year-old man with a past medical history of diabetes mellitus type II, hypothyroidism, and hypderlipidemia presents with a constant moderate to severe 'squeezing, pressure, and tight' left-sided chest pain for 1 hour. Chest radiograph: borderline cardiomegaly and a prominent aorta scattered patchy infiltrates bilaterally, small left pleural effusion. Extremities: right calf is 0.5 cm larger than left with some deep tenderness and a trace of ankle edema. Chest: dullness to percussion left base with scattered crackles and wheezes throughout. Systemic examination reveals: Heart: tachycardia, soft systolic murmur, questionable ventricular gallop. For the last week, he had experienced swelling and discomfort in his right calf.

He works as a truck driver and has a history of heavy cigarette smoking, hypertension, and obesity. His pain is substernal and left anterolateral, with some exacerbation on inspiration, and has been increasing in severity over the last 36 hours.

A 56-year-old man enters your hospital urgent care center complaining of moderately severe chest pain.

A low level exception occurred in reduce noise v4