Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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It's
essential to include all possibilities at this stage, both likely and remote.
Then we'll work on narrowing the field.
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esophagitis
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gallbladder disease
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coronary atherosclerosis with
classic angina
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variant (Prinzmetal's) angina
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silent gastric ulcer with perforation
(air under diaphragm)
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lung related problem (?) tumor,
infection, embolus
The issue of concern here is
that Mr. Raymond's recent episode of chest pain is not related to exertion.
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He has multiple risk factors
for coronary atherosclerosis.
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Dietary history would be helpful
with the gallbladder and GI related conditions.
Hold up, the labs
are back! They're sure to bail us out.
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