bariluis
Forum Junior
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A 20-year-old college student presents to you with a history of intermittent chest pain for about 6 months. He states that the pain can occur at any time, but often occurs late in the day. The pain can be sharp, dull, or aching and may last for hours. He is physically active and is carrying a full academic load. The pain is unrelated to exercise and does not restrict his activities. His father and paternal uncle have both had myocardial infarctions within the past year. Physical examination is normal, although the patient appears restless and has a heart rate of 100/min. Which one of the following is the most likely diagnosis?
1) reflux esophagitis
2) generalized anxiety disorder
3) transient myocardial ischemia
4) myocardial infarction
5) costochondritis
2?
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| drnadeemusmani
Forum Senior
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2
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| ngaybinhyen
Forum Guru
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2)
-t.
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| WaqasQureshi
Forum Senior
Topics: 5
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reflux
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| arlete
Forum Fanatic
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2
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Now it's on God's hands. I've done my best!
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| nightflight1945
banned
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2 is OK!
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| ar85
Forum Newbie
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2 ,,
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| vasu1582
Forum Newbie
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2
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| WaqasQureshi
Forum Senior
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how do you guys fit it as GAD?
it doesnt fulfill DSM IV R criteria
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| Eagle_303
Forum Guru
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Persistantly changing nature of pain ,with duration spanning to hrs ,without having associated relationship ,young age ,Family H/O cardiac death ,Physical normal with restlessness and tachycardia.Don't you think that is more consistent with GAD or any other option in the question?
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| drhouse
Forum Elite
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2
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everybody can do it.... its just matter of time
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