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A Man with Fevers and Chest Pain

机译:一个有发烧和胸痛的人

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A 42 y/o Hispanic man without significant medicalhistory presented to the ED with the complaint ofincreasing left-sided chest pain. The patient reported thatsymptoms began 4 days prior, when he developed asevere headache. That night, he noted increasing chillsand sweats, with a fever measured at 103 degrees F. Thefollowing morning, he developed left-sided chest painthat he described as a pressure exacerbated by movementand breathing. For the next several days, he reportedfeeling worse with continuous chills and fever spikes upto 105 degrees F, along with increased severity andduration of his chest pain.
机译:一名42岁,无明显病史的西班牙裔男子因左胸疼痛加剧而向急诊科求诊。该患者报告说症状开始于前4天,当时他出现了剧烈的头痛。那天晚上,他注意到发冷和出汗增加,发烧的温度为103华氏度。在第二天早晨,他出现了左侧胸部粉被,他形容为运动和呼吸会加剧这种压力。在接下来的几天里,他报告感觉持续恶化,持续寒冷,发烧高峰达到华氏105度,严重程度增加,胸痛持续时间延长。

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