A 66-year-old male presents to an ambulatory clinic with wor…

A 66-year-old male presents to an ambulatory clinic with worsening pain in his right calf that occurs after walking short distances and resolves with rest. Diminished distal pulses in the right lower extremity are noted. Which of the following diagnostic studies can be performed initially in the office for this complaint?

A 55-year-old female comes to your ED with complaints of a s…

A 55-year-old female comes to your ED with complaints of a sudden onset of severe substernal chest pain with radiation into her jaw. She is diaphoretic and anxious. She has one episode of vomiting in the ED and continues to be nauseated. Her troponin is elevated at 1.24 (normal > 0.04) VS –   BP: 100/40    P: 78     RR:30      O2 Sat:93% room air (RA) Her initial EKG is below: question46exam3.png Which of the following is on your differential diagnosis?