a 25 yrs old white female reports to the emergency room because of sharp left sided chest pain and

shortness of breathof one day duration. the patient was in excellent health until yesterday. she was awakened from her sleep by sharp left sided chest pain . the pain worsened with motion and deep breathing. the pain has been progressively increasing in severity and she now has severe left shoulder pain. she complains shortness of breath and is very apprehensive about dying. she denies any cough, fever, sputum production or hemoptysis. she is married and had one normal delivery three years ago. she is currently on birth control pills. she has never been hospitalized except for labor and delivery. review of systems are negative. she denies any past history of venous problems. she reveals having similar transitory minor episode of chest pain approximately one year ago while she was vacationing in Michigan. she works as a computer programmer. she somkes one pack of cigarettes a day for the past eight years. she consider herself a social drinker. gawan ng case pres?? anoe sa tingin moe skit nia??