Chest Pain in a 49-yr-old Woman

• Medical history: Menorrhagia due to uterine fibroids, with secondary iron-deficiency anemia; endometriosis; right breast fibroadenoma. No history of blood clots or clotting disorder.


• Surgical history: Laparoscopy and lysis of adhesions for endometriosis; tubal ligation; excision of breast fibroadenoma.


• Medications: None


• Allergies: None


• Family history: Mother was recently diagnosed with stage IV colon carcinoma; brother has schizophrenia.


• Social history: No tobacco or alcohol use; former cocaine and heroin use (quit both more than 20 yr ago); works for the hospital in the food services department. No recent travel.