Acute Onset of Retrosternal and Epigastric Pain

摘要

A 15-YEAR-OLD PREVIOUSLY HEALTHY MALE PRESENTS TO THE EMERGENCY DE-partment with acute onset of severe pleuritic retrosternal and epigastric pain after swallowing a mouthful of cold soda. He has no previous surgeries or major illnesses, no history of trauma, and no recent emesis. Following the onset of pain he waited several hours and ate 4 chili dogs before presenting to the emergency department.