11. CK Unknown
This patient was a 40 year old male with chest pain and difficulty
breathing. He denied prior cardiac disease, diabetes, hypertension,
or illicit drug use. HR 100. BP 180/95. Temp. 103. His breath smelled
of ethanol and ketones. His pupils were dilated. The cardiac and
pulmonary exam was unremarkable. His urine was dark. An EKG and
serial cardiac enzymes were ordered. Does this patient have an acute
myocardial infarction?
Answer
