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 |