Case 20

An 81-year-old man came to the Emergency Department (ED) after one day of having progressive dyspnea with orthopnea and had diffuse itchy skin for more than a week.

Case 19

A 75-year-old man complained of worsening dyspnea with orthopnea for 2 hours. He had no chest pain or palpitations. He admitted dietary indiscretion and noted a gradual weight gain of about 12 lbs in the past two months.

Case 18

This 69-year-old man had been in good health until two days before admission when he returned from a beach. He experienced general weakness with chest tightness and shortness of breath (SOB) associated with watery diarrhea, nausea, and vomiting.

Case 17

A 66-year-old woman was admitted with chest tightness and intermittent palpitations at rest for one week. Past medical history is significant for hypertension and chronic obstructive lung disease (COPD).

Case 16

This 43-year-old woman was rushed to ER because of the sudden onset of substernal chest tightness accompanied by cold sweats, which lasted more than 30 minutes.

Case 15

A 20-year-old man awakened from sleep with severe chest tightness and shortness of breath (SOB). Simultaneously, he felt dizzy and nauseous and fainted with crutches while going to the bathroom.

Case 14

A 30-year-old woman, a professional cook, suddenly experienced retrosternal chest tightness after dinner, which increased in intensity without radiation, lasting for 2 hours.

Case 13

This 30-year-old woman complained of having had about ten episodes of syncope associated with mild exertion for the past six months.

Case 12

A 73-year-old woman, s/p ICD implanted for recurrent ventricular tachycardia (VT) associated with dilated cardiomyopathy (DCM) 9 months ago, was admitted after receiving several electrical shocks.

Case 11

A 38-year-old man was admitted because of having abdominal fullness associated with progressive SOB (PND and orthopnea) for ten days. He denied having abdominal pain, chest pain/tightness, fever, cough, or palpitations.