# 54-year-old Woman with Chest Pain

## TL;DR

A 54-year-old woman with chest pain and shortness of breath after trauma is examined to determine the cause of her symptoms.

## Contribution

This case study provides a practical diagnostic approach for chest pain with dyspnea in the ED.

## Key findings

- The case highlights the challenges in diagnosing chest pain with multiple possible causes.
- The final diagnosis was unexpected and provides insights into trauma-related presentations.

## Abstract

Chest pain is a common presentation to the emergency department (ED) that can be caused by a multitude of etiologies. It can be challenging to differentiate life-threatening conditions from more benign causes. A 54-year-old woman presented to the ED complaining of chest pain with dyspnea in the setting of recent blunt trauma. This case offers a thorough yet practical approach to the diagnostic workup of chest pain with dyspnea in the ED setting. The surprising final diagnosis and case outcome are then revealed.