You are responding to a 52-year-old male patient complaining of heartburn with epigastric pain.The patient's vital signs are stable and he does not have any pain upon palpation.He has a history of reflux disease and is on several medications for heartburn and acid reflux.What is your greatest concern with this patient?

Question

Quizplus · Accepted Answer

Given the patient's age and history of reflux disease, it is important to consider the possibility of a cardiac etiology for his symptoms. Myocardial infarction can present with atypical symptoms, such as epigastric pain and heartburn, particularly in patients with a history of reflux disease. It is important to rule out this potentially life-threatening condition before considering less urgent possibilities. Aspiration, peritonitis, and appendicitis are less likely given the patient's lack of symptoms or physical exam findings indicative of these conditions.

You Are Responding to a 52-Year-Old Male Patient Complaining of Heartburn