Hey, folks, just a quick reminder that this podcast is not meant to be used for medical advice,

just good old-fashioned education.

Welcome back clinical problem solvers.

My name is Sharman Chekartune.

I'm one of the R3s at UCSF.

We have a great clinical unknown prepared for you. As a reminder, in this format, we presented

blinded, disgust, and short pieces of information, asking them to share their thought processes

in real time. Tonight, we're so lucky to have two great guests with us, Dr. Katie Sullivan and Sarah Goglin.

So Dr. Sullivan graduated from the Pritzker School of Medicine at the University of Chicago.

She's a third-year resident at the UCSF and Toronto Medicine residency program in San Francisco.

Next year, Dr. Sullivan will stay on at UCSF to be one of the chief residents at the Zuckerberg San Francisco

General Hospital. Her clinical interest include health care disparities, pulmonary clinical care,

nutrition, and medical education. When away from the hospital, she loves to cook, spend time in the

ocean, and listen to music. And Dr. Cogman is assistant professor at UCSF in the Division of Rheumatology. She cares for

patients at UCSF in the Lupus and Vascularis Clinic and at the Zuckerberg, San Francisco

General Hospital in the General Rheumatology Clinic. She's involved in many aspects of UCSF medical

student by a medicine residence and rheumatology fellow education, including serving

an assistant program director for the internal medicine residency and directing the rheumatology

elective for 40-year medical students. Awesome. We're so excited for this case. Katie, please take it

away. A 70-year-old man with COPD presented with progressive chest pain and shortness of breath.

A week prior, he was seen in the ED with four days of left-sided lower chest pain.

EKG and troponin were negative.

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