Pain in the chest in a user of cocaine

Journal Article · Fri Oct 16 04:00:00 EDT 1987 · JAMA, J. Am. Med. Assoc.; (United States)

DOI:https://doi.org/10.1001/jama.258.15.2087· OSTI ID:5652019

Wiener, M D; Putnam, C E

A 21-year-old man presented with pleuritic substernal chest pain of one hour's duration. The pain was exacerbated in a supine position and did not radiate. Questioning revealed that he was a recreational user of cocaine and had inhaled free-based cocaine via a pipe the previous evening and as recently as two hours before admission to the hospital. Physical examination demonstrated an anxious young man with a respiratory rate of 26 breaths per minute and shallow. He was afebrile with normal heart rate and blood pressure. His sternum was tender to palpation, and auscultation revealed precordial crepitus synchronous with systole. His electrocardiogram showed sinus rhythm at a rate of 62 beats per minute. Posteroanterior and lateral roentgenograms of the chest were obtained. A diagnosis of spontaneous pneumomediastinum was made.

• OSTI ID: 5652019
• Journal Information: JAMA, J. Am. Med. Assoc.; (United States), Journal Name: JAMA, J. Am. Med. Assoc.; (United States) Vol. 258:15; ISSN JAMAA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ALKALOIDS
ANESTHETICS
ANIMALS
ANTIDEPRESSANTS
BIOLOGICAL EFFECTS
BIOMEDICAL RADIOGRAPHY
BODY
BODY AREAS
CENTRAL NERVOUS SYSTEM AGENTS
CENTRAL NERVOUS SYSTEM DEPRESSANTS
CHEST
COCAINE
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
DRUGS
MAMMALS
MAN
MEDIASTINUM
MEDICINE
NUCLEAR MEDICINE
ORGANIC COMPOUNDS
PRIMATES
PSYCHOTROPIC DRUGS
RADIOLOGY
RESPIRATORY SYSTEM DISEASES
VERTEBRATES