Admitted under GM 19, Dr Chang. Rejected by cardiology- unlikely to be cardiac.
Patient Name: Corporal J .Hicks
Presenting complaint: Chest pain - 1/52
History of Presention Compaint:
Patient has had 1 week of central chest pain. Feels like "pounding" At time feels like chest about to burst.
Pain radiates to back. Pleuritic. Associated with SOB.
Chills and sweats for 2 weeks.
Haemoptysis 4 days.
Recent long haul flight from mining colony #210 on Betelguese system.
Cryostasis for 1 month.
Arrived 2 weeks ago
No calf swelling or calf pain.
Previously fit and well
Past Medical History:
USCMC issued Stim-packs
Negative for cardiac or thromboembolic disease
Recent assignment to Colony #210 Betelguese system
Corporal in United States Colonial Marine Corps
O/E Patient is pale and diaphoretic.
BP 100/55mmHg Temp 37.5
Sats 88% RA
JVP raise at 6 cm
Pectus carinatum? Chest dullness to percussion bilaterally.
Very prominent ventricular heave
Chest reduced breathsounds and crackles throughout
Abdo distended, mildly tender. Epigastric tenderness.
Differentials: ? PE
? Alien infestation
Needs armed security 24/7
IV Cefepime + Metronidazole
Patient died overnight.
Chest wall exploded while in isolation chamber.
Alien facehugger unleashed from thoracic cage.
Successfully neutralised by arm guards after killing one guard.
Postmortem not planned as risk of contamination
Body for incineration
Notified Galactic Ministry of Health and US Colonial Marine Corps
THE FOLLOWING MINISTRY OF HEALTH WARNING HAS BEEN ISSUED!
If you have pounding chest pain and have been in alien contact within one month, please DO NOT board any ships.
Always wear mask and gloves when dealing with contaminated patients!
The M41a Pulse Rifle is your doctor recommended management for alien induced chest pain.
Preferably with a grenade launcher attached.