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Fit and ... well

Department of Radiology, Poole General Hospital, Longfleet Road, Poole, Dorset BH15 2JB, UK

This excerpt was created in the absence of an abstract.

Previously fit and well, a 65-year-old gentleman awoke at 3 am with searing interscapular pain. The general practitioner administered morphine and referred him urgently to hospital. On arrival he was found to be pale and sweaty with a mild tachycardia and he refused to move his arms. Physical examination was otherwise unremarkable and, of note, his blood pressure was normal. He was considered likely to have suffered a myocardial infarction though an electrocardiogram (ECG) showed only the tachycardia. A chest radiograph was considered normal by the admitting clinicians.

The "arrest team" was called 2 h after admission and found the patient cyanosed and having a grand mal epileptic attack. He recovered spontaneously.

^* Present address: X-ray Department, Southampton General Hospital, Tremona Road, Southampton, SO9 4XY.

Received for publication July 25, 1991. Accepted for publication September 4, 1991.