Abstract
A previously healthy 18-year-old man presented with chest pain that awoke him. The pain was described as constant, grade 2/10, left-sided chest pressure without radiation or correlation with exertion. This was preceded by 1 day of nausea, vomiting, and fever to 102℉. He did not have dyspnea, diaphoresis, palpitations, edema, orthopnea, risk factors for venous thromboembolism, recent travel, acute life stressors, trauma, or known connective tissue disorders. He did not have any chronic medical conditions and was not taking any medications as an outpatient.
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