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Previous Volume 334:1530-1534 June 6, 1996 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 52-year-old man was brought to the hospital because of lethargy and headache. He had a history of mild, intermittent headaches and heartburn but had had worse-than-usual occipital and left retro-orbital pain for the past one or two days. There was no trauma, photophobia, nausea, or vomiting, and his only medications were pseudoephedrine and aspirin, which he had taken that morning. He also described several recent bouts of heartburn in his left chest and shoulder that were independent of exertion, position, and ingestion of food and that had resolved spontaneously after 5 to 10 minutes. He had no current chest, . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Emergency Medicine, Kaiser Permanente Medical Center, Richmond, Calif. (D.S.P.); the Department of Medicine, Veterans Affairs Medical Center, San Francisco (L.T.); and the Department of Medicine, School of Medicine, University of California, San Francisco (D.S.P., L.T.).

Address reprint requests to Dr. Pine at the Department of Emergency Medicine, Kaiser Permanente Medical Center, 901 Nevin Ave., Richmond, CA 94801-3195.

References

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