A 70-Year-Old Man With Conspicuous Thigh Pain and ST-Segment Elevations

CASE PRESENTATION: A 70-year-old man presented to the ED with sudden onset of left thigh pain followed by transient chest discomfort. His history included cerebrovascular disease, hypertension, and cocaine and methamphetamine use. Physical examination revealed an uncomfortable male subject with a temperature of 37 degrees C, heart rate of 129 beats/min, BP of 130/65 mm Hg, and 98% oxygen saturation on room air. There was point tenderness in the left lateral thigh without erythema, swelling, or overlying skin changes. His cardiac examination revealed an irregular tachycardia at 129 beats/min and normal first and second heart sounds without murmurs, gallops, or rubs. The remainder of the examination was unremarkable.

Automated summary

A 70-year-old male patient presenting with left thigh pain and transient chest discomfort, with a history of cerebrovascular disease, hypertension, and drug abuse. Physical examination revealed tenderness in the left thigh, irregular tachycardia, and otherwise normal findings.