An Elderly Man with Worsening Chest Pressure

News
Poll

Patient describes worsening chest pain for 2 years; also easy bruising, bleeding. Follow ED exam on video. What's your diagnosis?

An 87-y/o man is seen in the ED for severe acute chest pain. PMH: 2y of intermittent worsening chest pain at rest; PAD w/ femoral artery bypass; aortic stenosis; no known coronary disease. Easy bleeding; recent derm procedure paused for heavy bleeding. Awake, alert; no pain. Vital signs, WNL; normal ECG.

What's your diagnosis?

A. Ischemia
B. Idiopathic thrombocytopenic purpura
C. Pulmonary hemorrhage
D. Myocardial infaraction
E. Leukemia
F. Pulmonary embolus
G. Peripheral vascular disease

Newsletter

Enhance your clinical practice with the Patient Care newsletter, offering the latest evidence-based guidelines, diagnostic insights, and treatment strategies for primary care physicians.

Recent Videos
New Research Amplifies Impact of Social Determinants of Health on Cardiometabolic Measures Over Time
© 2025 MJH Life Sciences

All rights reserved.