A previously healthy 31-year-old woman comes to the GP because of a two-week history of left-sided chest pain. She appears slightly sweaty and nervous. She says the pain radiates to the back and worsens when she reaches behind her back or over her head. Her BMI is 34. She has type II diabetes mellitus. Her father died of a myocardial infarction at age 54. A 1/6 mid-systolic click is auscultated in the left mid-clavicular line. Her vitals are: temperature 98.4F, HR 90, RR 12, BP 135/85. Which of the following is the most likely diagnosis?
Achalasia
Angina (stable)
Angina (unstable)
Costochondritis
Mitral valve prolapse syndrome
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Cut-to-the-chase Answer (0:45):
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HY USMLE Answer (3:49):
