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Clerkshift

A case from the library

Sudden severe chest pain in a 46-year-old man

Emergency MedicineMedium

Stephen Clarke

46 years · Male

Vitals

Heart rate
98 bpm
Blood pressure
120/70 mmHg
Resp. rate
24 /min
SpO₂
98%
Temperature
98.6 °F

How hard it is

A real-world presentation with one or two atypical features. You'll need targeted questions and the right test to narrow the differential.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in Diagnostics, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.