Case 2

Stem: 77 year old woman had back pain yesterday, and several episodes of feeling faint today. She has not experienced any anterior chest discomfort. On arrival her blood pressure was 110/80 mm Hg, her JVP was 0.5 cm, and there was no leg oedema.

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Case 3

Stem: 86 year old man with a past history of hypertension, Type 1 diabetes, congestive cardiac failure, paroxysmal atrial fibrillation and aortic valve replacement. His medications include frusemide and warfarin.

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Case 4

Stem: This 74 year old man with a past history of renal carcinoma presentedwith central chest pain to a rural hospital. The initial ECG showed ST elevation in the inferior limb leads, and the serum troponin was elevated.

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Case 5

Stem: This healthy 56 year old man who is not on any medications suddenly lost consciousness without any warning while riding a bicycle. He fell off his bicycle, but has no recollection of the accident...

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Case 8

Thanks to Mark Santamaria for this case 

Stem: This 35 year old male presented with a 6 hour history of severe left sided chest pain that radiated to the neck,  and was associated with sweating and shortness of breath.

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Case 10

Stem: Twenty nine year old man with a past history of intermittent palpitations. He is not taking any medications. He presents with palpitations, dyspnoea and dizziness that came on while he exercising in the gym. His systolic blood pressure on arrival was 60 mm Hg. 

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