A 54-year-old Woman with Chest Pain Radiating to Jaw

August 26, 2015

The patient felt like her "head would explode" from the pain on the left side of her face. Watch the ED video and formulate your own diagnosis.

This first-ever episode of severe chest pain was of sudden onset w/ radiation to the left side of the patient's face. No fever, vomiting, diarrhea. Pain has abated. PMH: Hyperthyroidism, hypercholesterolemia, depression. Meds: methimazole. Vitals: HR: 70 bpm; RR: 16; BP: 150/74 mm Hg.

The differential diagnosis for chest pain is broad. What is your impression?