A 48-Year-Old Female with Months of Fatigue, Nausea, and Body Aches—Including Chest Pain

The patients is a 48-year-old female with a family history of breast cancer who complains of 2 months of fatigue, nausea, and generalized body aches, including chest pain. She reports 40 pounds of unintentional weight loss during this time.

Review the ECG taken and consider what other tests you would order, as well as possible diagnoses.

(Case presented by Tom Fadial, MD, McGovern Medical School Department of Emergency Medicine.)