Case of the Month
Incidental and Not-So-Incidental Findings
Arch Intern Med. 1999;159:1655-1656.
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INTRODUCTION
A 63-YEAR-OLD Hispanic man was a moderate alcohol consumer with a 50 pack-year history of cigarette smoking. After the onset of acute nonradiating chest pain, he was taken to the emergency department, where his chest pain continued and he became restless and cyanotic. Cardiac arrest occurred within 15 minutes, and resuscitative attempts were unsuccessful. The emergency department physicians requested an autopsy to determine the cause of death, which they suspected was a ruptured aortic aneurysm.
A review of the patient's medical history in preparation for the autopsy showed a hospital admission 5 months earlier for substernal chest pain with radiation to the neck and shoulders. The pain resolved, and an electrocardiogram showed normal sinus rhythm and a normal axis. Neither the electrocardiogram nor the cardiac enzyme levels showed evidence of myocardial infarction, and the findings of a dipyridamole stress test were interpreted as normal, without evidence of significant coronary artery . . . [Full Text of this Article]
AUTOPSY FINDINGS
COMMENT
Dean M. Havlik, MD
University of New Mexico School of Medicine, Albuquerque
Wilbur L. Williams, MD
University of New Mexico School of Medicine and Albuquerque Veterans Affairs Medical Center
Randy Hanzlick, MD
Emory University School of Medicine, Atlanta, Ga
and the Autopsy Committee of the College of American Pathologists
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Case of the Month: Wrapping Things Up
Hanzlick and the Autopsy Committee of the College of American P
Arch Intern Med 2000;160:3029-3031.
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