Mr. Raymond
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

There's nothing really wrong with the EKG.
  • Normal sinus rhythm
  • No ST or T wave changes.
  • No evidence of recent or past myocardial infarction
  • No shift in the axis
The labs should be back soon. This is a good time to summarize what we have and generating a differential diagnosis.
  • 42 year-old man with intermittent, non-exertional chest pain, radiates to jaw.
  • Cutaneous xanthomas around eyes.
  • Smoker
  • Family history of heart disease.


Differential diagnosis

 

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