HPI: 64-year-old male smoker with a Hx of HTN, DM, COPD presents with lightheadedness and chest tightness. He has had flu like symptoms for the past week, that have been getting progressively worse, with vomiting, dyspnea, and a syncopal episode. He thinks, “It’s my COPD”. Vitals: HR-80s, BP-100/50, RR-24, SpO2-95%, afebrile. Exam: Non-toxic, looks uncomfortable.…

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HPI: 61 year old male with significant cardiac risk factors presents with chest pain that that radiates down both arms. The pain is exertional and improves with rest. His pain is associated with nausea and diaphoresis. Vitals: HR-50, SBP-90s, RR-18, SpO2-98% Exam: Clear lungs, regular bradycardia, otherwise normal. Case ECG          …

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