Okay team, with spooky season in full swing, let’s talk about some scary stuff . . . chest pain. You’re on red team and they’ve just roomed a 54 year old female with a history of HTN presenting with acute onset chest pain immediately after hearing news that her brother had died, about 30 minutes prior to arrival. The pain is substernal, non-radiating, and described as “pressure-like”. Her systolic BP is in the 150s, but the rest of her vitals are normal. She appears distraught and in pain, but the rest of her exam is unrevealing.

Samson Frendo MD and Eric Leser MD