A 38-Year-Old Female with Abdominal Pain and Chest Tightness

A 38-year-old female with no past medical history presents to an urgent care with right upper quadrant abdominal pain and chest tightness, worsening for 1 week. She reports that her chest tightness is associated with shortness of breath, and is worse when walking and lying on her side. She denies fever, cough, dysuria, headache, or weakness.

View the ECG and consider what your diagnosis and next steps would be.

(Case presented by Catherine Reynolds, MD, McGovern Medical School Department of Emergency Medicine.)