Patient Characteristics
Case 1
Case 2
Age 19 years 19 years
Sex Male Male
Risk Factors Occasional marijuana use, Smoking Marijuana use, Vaping
Symptoms Chest pain, shortness of breath, syncope Hyperemesis, Chest pain
CRP 0.11 (<1.00mg/dl) 0.50 (<1.00 mg/dl)
Troponin 0.03(<0.06ng/ml) x 2 0.03 (0.06ng/ml) x2
EKG changes ST-T elevations V3-V4 with PR depression in AVR Diffuse ST-T elevations with PR depression in AVR with evidence of LVH
Chest Xray Subcutaneous emphysema, continuous diaphragm sign The air along the mediastinum and subcutaneous emphysema
CT Findings Subcutaneous emphysema, moderate pneumomediastinum with pneumopericardium, and a collapsed esophagus Subcutaneous emphysema, moderate pneumomediastinum, pneumopericardium, esophagus not well visualized.
Echocardiogram
Normal function, no evidence of pericardial effusion.
Mild concentric left ventricular hypertrophy normal chamber size and hyperdynamic systolic function with no apparent regional wall motion abnormalities.
Esophagram Not performed No evidence of an esophageal leak