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Sudoku's result of this issue. |
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Today’s Case Of This Current Magazine |
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Today's Case Set 1 | A 45-year-old male presents to the local Emergency... |
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| Today’s Case 1 |
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| A 45-year-old male presents to the local Emergency Department with complaints of moderate to severe chest pain with radiation to the neck-shoulder region. The patient denies any personal history of heart disease but reports that his father passed away from a heart attack at the age of 69. Temperature= 102o F. Pulse=110. Respiratory rate= 25. Blood pressure= 100/63. The head, ear, nose, and throat exam is unremarkable. During pulmonary auscultation, the patient states that pain gets much worse every time he is asked to take a deep breath. A triphasic grating sound is heard during cardiac auscultation. The patient refuses to lie down for the abdominal exam saying that the pain gets to bed when he is supine. An EKG is ordered that shows ST elevation in all leads except for V1 and aVR. PR depression is noted. Troponin I is mildly elevated. |
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