Clinical Case Database / Category: Case Based Discussion

Acute thoracic aortic syndromes

Publication details

Dr Andrew RJ Mitchell
Foundation Years Journal, volume 7, issue 6, p.14 (123Doc Education, London, June 2013)


A 25-year-old man presents to the emergency department with chest pain. The patient describes severe, sudden-onset, central chest pain radiating through to his back, which came on whilst out walking his dog. The patient claims to have been previously fit and well with no significant past medical or surgical history. He is a non-smoker, drinks alcohol very occasionally and denies taking any regular medication. In the emergency department, the patient appears pale, sweaty, tachypnoeic and in obvious pain.

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Dr Andrew RJ Mitchell (Corresponding author)

Department of Cardiology
Jersey General Hospital
Gloucester Street
St Helier
Channel lslands


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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