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Thread: What is the DX?

  1. #1
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    What is the DX?

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    You have a 23 year old patient that comes to the ER with pain in his chest; he says that the pain feels like if someone is sitting in his chest, the pain started 30 minutes ago, and have not gotten better, he also state that his dad died when he w as in his 40ís

    EKG


    What is the most likely Dx?
    1-GERD
    2-CHF
    3-MI
    4-IMG SURVIVOR
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  2. #2
    rose.82 is offline Junior Member 510 points
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    Hi,

    According to the paitent history I think the answer is 3-MI.

  3. #3
    FUTR_DR is offline Junior Member 510 points
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    Looks like an inferior wall MI

  4. #4
    IMG SURVIVOR's Avatar
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    The answer is 4 IMG SURVIVOR, no its not its 3 MI.

    What are the MAIN 5 risk factors for MI?
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  5. #5
    student-2's Avatar
    student-2 is offline Senior Member 510 points
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    By Hx you can suspect MI alone- you can't say Inferior/ lateral/posterior etc.... Would need to do at least an ECG to suggest localization of the MI.

  6. #6
    IMG SURVIVOR's Avatar
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    my bad the EKG did not came up.
    if you guys can post a classic MI EKG
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  7. #7
    Dr. X's Avatar
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    img.. youre 23 and doing rotations? really? whats the weight of the person of the thats sittin on u? is it a female?

    jokes aside.. sorry abt ur dad.

    futur{e} dr - how did u arrive at inferior wall occlusion.
    SJSM.

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