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Download the article PDF: Clinical Challenges June 2025
A 33-year-old female presents to urgent care with pleuritic chest pain that is gradual in onset over the preceding several days and worse when lying flat. She denies fever, cough, and shortness of breath. She is well appearing with normal vital signs. An ECG is obtained.
View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Case presented by Benjamin Cooper, MD, MEd, FACEP, McGovern Medical School at the University of Texas Health Science Center at Houston
33-Year-Old With Pleuritic Chest Pain
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