Welcome back clinical problem solvers. This week we had the great fortune of partnering up with the

Human Diagnosis Project during their chest pain week, which starts tomorrow, February 18th.

We will release three episodes on Monday, Wednesday, and Friday where we attempt to solve

one of the cases. These cases are presented in piecemeal fashion, and we share our thought

process as we obtain the information. The whole purpose of these episodes is a thought process

as each information is presented. We were so lucky to recruit Hannah Abrams to present the cases

to us.

Hannah is a third year medical student at Baylor College of Medicine, applying to internal

medicine residency programs in the fall. In her spare time, she rotates at Cashelike Memorial

Hospital, home of the podcast, the curbsiders, where she is social media editor and episode producer.

Of course, nothing she says on these episodes represents those institutions unless the content

is superb. I hope you enjoy these episodes. Thanks.

Hey, folks, just a quick reminder that this podcast is not meant to be used these episodes. Thanks.

Hey, folks, just a quick reminder that this podcast is not meant to be used for medical advice, just good old-fashioned education.

All right, let's do it.

So our first case is from Dr. Anand Patel of UChicago, and it's the case of a 46-year-old man presenting the chest pain.

So he tells you that his chest pain has been going on for 12 hours.

It woke him up from sleep, and it's sub-sternal, and it's been constant since it started.

On physical exam, his vital signs are stable.

His lungs are clear to auscultation. He has a regular heart rate with no murmurs and no

abdominal tenderness to palpation. You get an EKG that shows a regular rate with narrow QRS's,

a borderline prolonged PR interval, normal QT interval, left axis deviation,

...