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{
    "pk": 47061,
    "title": "70-year-old Woman with Chest Tightness and Shortness of Breath",
    "subtitle": null,
    "abstract": "<p>Chest tightness and shortness of breath are relatively common reasons for presentation to the emergency department (ED), often triggering protocolized workups and dispositions. A good history, however, can reveal additional elements that may dramatically alter the differential diagnosis and management. A 70-year-old woman presented to the ED complaining of subacute chest tightness with dyspnea on exertion. This case offers a thoughtful analysis of how to integrate key findings within a patient’s history, exam, and workup in the ED. The surprising final diagnosis and case outcome are then revealed.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Chagas cardiomyopathy"
        },
        {
            "word": "Clinicopathological case"
        }
    ],
    "section": "Clinicopathological Cases from the University of Maryland",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5dk3f72j",
    "frozenauthors": [
        {
            "first_name": "Robert",
            "middle_name": "E",
            "last_name": "Dunn",
            "name_suffix": "",
            "institution": "University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, MD",
            "department": ""
        },
        {
            "first_name": "Brianna",
            "middle_name": "",
            "last_name": "Klucher",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, MD",
            "department": ""
        },
        {
            "first_name": "Laura",
            "middle_name": "J",
            "last_name": "Bontempo",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, MD",
            "department": ""
        },
        {
            "first_name": "John",
            "middle_name": "David",
            "last_name": "Gatz",
            "name_suffix": "",
            "institution": "University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, MD",
            "department": ""
        }
    ],
    "date_submitted": "2025-03-22T09:49:11.182000Z",
    "date_accepted": "2025-07-11T22:29:48.331000Z",
    "date_published": "2025-12-07T22:10:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/47061/galley/48073/download/"
        }
    ]
}