2021 AMI Online Salon

Acute Chest Pain in Adults: Outpatient Evaluation

Project Details

  • Entrant Name:  John Karapelou
  • Client: American Family Physician
  • Copyright: John W. Karapelou, 2020
  • Medium/software used: Photoshop, Poser, Keyshot, Lightwave
  • Final presentation format: Medical journal cover art
  • Primary Audience: Primary care / family practice physicians


Project Description

To depict a patient that might be evaluated in the primary care setting who is experiencing acute but vague chest pain, a few likely causes, and outpatient exercise stress testing. Main figure is a man between 50 and 70 years old, grimacing slightly from chest pain that is sharp but not overwhelming and centered in the middle of the anterior chest wall. Shown in the foreground are possible causes, clockwise from top right: costochondritis; and x-ray showing consolidation consistent with pneumonia; and gastroesophageal reflux disease (GERD). In the background is a different patient undergoing an exercise stress test with a health care practitioner monitoring her. Since this was published in the middle of the COVID-19 pandemic, both patient and doctor wear masks.