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Clinical Problem-Solving
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Volume 345:359-363 August 2, 2001 Number 5
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Of Nicks and Time
Brahmajee K. Nallamothu, M.D., M.P.H., Sanjay Saint, M.D., M.P.H., Theodore J. Kolias, M.D., and Kim A. Eagle, M.D.

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A 32-year-old man with a history of asthma and "crack" cocaine use presented to the emergency department after an episode of syncope. Earlier that evening, he had smoked crack cocaine several times. Shortly after his last use, he began to have sharp chest pain, which radiated to his shoulders and was associated with dizziness and diaphoresis, followed by a sudden loss of consciousness. His wife, who witnessed the event, described him as "foaming at the mouth" and having involuntary trembling of his arms and legs. He was brought immediately to the emergency department.

The patient reported no shortness of breath, . . . [Full Text of this Article]

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Source Information

From the Department of Internal Medicine, University of Michigan (B.K.N., S.S., T.J.K., K.A.E.), and the Health Services Research and Development Field Program, Ann Arbor Veterans Affairs Medical Center (S.S.) — both in Ann Arbor.

Address reprint requests to Dr. Nallamothu at B1F245 University Hospital, Ann Arbor, MI 48109-0022, or at bnallamo@umich.edu.

References




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