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A 36-Year-Old Woman Went Sailing with Her Husband and They

Question 9

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A 36-year-old woman went sailing with her husband and they were caught in a severe gale. While the husband at the helm desperately managed to keep the boat under control, the wife tried to get the sails down. Eventually the squall died down and they were able to return safely to port. The next morning, the woman woke up with severe pain over the left side of her chest. On being examined in the emergency department of the local hospital for a suspected myocardial infarction, the physician found that the patient was acutely tender over her left costal margin, which was made worse on taking a deep breath. What is the possible diagnosis?

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The localized tenderness over the left c...

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