Public Safety Training Center
Monroe Community College Rochester, New York
MCC Paramedic Program Case of the Month 07/99

Chief Complaint:
The patient is an 24yo male found in the care of BLS. He is complaining of acid indigestion.
His VS are: P-68 and reg., BP- 120/82, Resp-20 and normal Skin color- pink, Pulse Saturation 98% on room air.
The past history is devoid of any significant findings.
Physical Exam:
HEENT: EYES: = and reactive to light, Ears: unremarkable Nose: unremarkable Throat: no JVD
Chest: Clear to auscultation bilaterally
ABD: Soft, nontender
EXTREM: = pulses, mae well, no edema
Based on the available data, Choose the correct items: (there are 2 correct answers)

This patient is stable and can safely be transported by the BLS crew alone

This patient's ekg shows significant ST elevation in the V leads and is having an AMI

This is Prinzmetal's angina

There are reciprocal changes on the EKG

This is early repolarization
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Updated: June 22, 1999
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