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Build your differential diagnosis with the patient is 69 year

Build your differential diagnosis with the patient is 69 year old female with PMH of overweight BMI, CAD, HTN, hyperlipidemia and aortic stenosis presents with intermittent less than 5 minutes episodes of diffuse chest pain that began 5 days ago. symptoms are worsened with mild exertion, relieved with rest within 3 to 5 minutes, and accompanied by dyspnea and fatigue on exertion, she denies tobacco, alcohol and drug use as well as recent URI or viral illness, fever, weight loss, nausea or vomiting. Vitals reveal mild tachycardia but are other wise stable, and the physical exam shows pre-existing grade II systolic murmur without other abnormalities.

 
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