Nausea and vomiting. Pale, cool and sweaty. Diagnosis usually made with a positive dip of his urine for blood and an intravenous pyelogram. Acute Myocardial Infarction 65 year old male complains of a sudden onset of substernal chest pressure with radiation of pain down his left arm. He's pale, cool and diaphoretic.
Nausea is present.
Risk factors of high blood pressure, smoking, high cholesterol, or family history of heart disease. Remember you can't change true heart pain with movement, deep breathing, or palpating the chest. This patient needs to be brought right back into your emergency room and the heart catherization team and cardiologist notified. Diverticulitis Sudden onset of pain in the left lower abdomen associated with possible peritoneal irritation. Fever present and a story of poor eating habits.