<div>Table 1. Patient’s list of home medications before admission</div><div>She denied any alcohol or recreational drug use. She quit smoking a few
years back. Her mother had a history of myocardial infarction, diabetes
mellitus, hypertension, and Rheumatoid arthritis. Her family is
originally from Mexico, and one of her brothers and her two cousins have
elevated triglycerides.</div><div>Physical examination was significant for tenderness in the epigastric
and bilateral costovertebral area. Her abdomen had
disproportionatelyincreased fat deposition while her arms and legs were
skinny (due to lipodystrophy).</div><div>Her blood pressure was 125/89 mm Hg, heart rate was 140 bpm,
temperaturewas 36.3 C, and respiratory rate was 17 breaths/ minute.</div><div>The differentials based on her symptoms and physical examination
included-</div><ul><li>Acute Coronary Syndrome</li><li>Aortic Dissection</li><li>Pulmonary Embolism</li><li>Gastroesophageal Disorder</li><li>Urinary Tract Infection</li><li>Acute Pancreatitis</li><li>Musculoskeletal Strain</li></ul><div>Her CBC showed a WBC count of 11.2 K/mm3 with neutrophilic predominance
(reference range 4-11 K/mm3), Hb of 13.4 g/dL (reference range 12-16
mg/dL), Hematocrit of 40% (reference range 35-48%) and a platelet
count of 258 K/mm3 (reference range 130-450 K/mm3). Her urinalysis
revealed the presence of blood and 3-10 RBCs/hpf. Other pertinent lab
results are shown in Table2.</div>