Paddling Against The Current: An Unexpected Diagnosis In A Paddle Boarder

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now open for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Paddling Against The Current: An Unexpected Diagnosis In A Paddle Boarder - Page #1

Author: Anna Buehler, MD Co Author #1: Charles A Tharp, MD Co Author #2: Bradley G Changstrom, MD Co Author #3: Julie Knoeckel, MD Senior Editor: Natalie Stork, MD Editor: Caitlyn Mooney, MD Patient Presentation: A 74-year-old woman presented with episodes of chest pain that began two days prior while paddle boarding. History: The pain was dull, encompassed the whole chest wall, and was associated with dyspnea. She initially believed the pain was caused by muscular strain and anxiety as she paddled in stormy conditions. The pain improved when she got to shore and resolved several hours after utilizing aspirin, acetaminophen, and a warm compress. The next day she had two more episodes with walking that resolved with the same initial interventions. The following day an episode was associated with minor exertion and did not improve. After presenting to the emergency department, the pain completely resolved with sublingual nitroglycerin. Her past medical history included hypertension (medications: amlodipine and losartan), rheumatoid arthritis (medications: etanercept), vasomotor symptoms (medications: oral estrogen), and elevated cholesterol. Physical Exam: The patient was a thin, healthy appearing older woman. She appeared anxious. Initial vital signs were a heart rate of 120 beats per minute with a regular rhythm and blood pressure of 164/102. Cardiac and pulmonary auscultation revealed no murmurs or abnormal heart sounds and lung fields that were clear without crackles. There was no jugular venous distension or lower extremity edema. The chest muscles appeared symmetric and there were no bony deformities or swelling around the sternum, clavicles or shoulders. Chest wall palpation did not reproduce the pain. Range of motion and strength of upper and lower extremities were normal. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC