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Chest pain in a patient with suicidal history
  1. Chien-Ming Chiang,
  2. Hsueh-Chien Chiang,
  3. Jui-Wen Kang
  1. Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
  1. Correspondence to Dr Hsueh-Chien Chiang; scion456scion{at}gmail.com

https://doi.org/10.1136/flgastro-2023-102617

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    A 69-year-old man with diabetes mellitus (DM) visited the emergency department with chest pain for 4 days. He had suicidal history 6 months ago, using a knife to cut into his throat about 3 cm depth. An elevated body temperature (37.4°C) was detected. Electrocardiography showed sinus rhythm without ST or T wave changes, and chest computed tomography angiography (CTA) demonstrated no aortic dissection or pulmonary embolism. His blood test revealed mildly elevated C-reaction protein (CRP), without elevation …

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    Footnotes

    • Contributors Conceptualisation: C-MC. Methodology: H-CC. Software: H-CC. Validation: C-MC and H-CC. Investigation: H-CC and J-WK. Resources: J-WK. Writing—original draft: C-MC. Writing—review and editing: H-CC and J-WK. Visualisation: C-MC and H-CC. Supervision: J-WK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.