In the ED, their vitals/exam are as above. Patient with the sensation of pulsations (also felt externally) in her upper belly while at work. Differential for the symptoms includes new aortic process (albeit unlikely given patient without significant current symptoms or risk factors), increased awareness of her aortic pulsations without frank dangerous process, bowel gas, esophageal spasm with referred pain distally.  Much lower concern for myocardial infarction, pulmonary embolism, or new pulmonary disease given description of symptoms (including being without chest pain, shortness of breath, cough, leg swelling).  Hence, will proceed as below.
– Labs/Tests: CBC, BMP, troponin
– Imaging: Bedside ultrasound of aorta
– Treatments: None at this time
– Consults: None
– Dispo: Pending clinical resolution