What would your differential diagnosis

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Problem

A 55-year-old man of Asian origin presents to a small rural hospital 50 miles from the nearest city with a new onset of chest pain. The pain is severe, located in the center of his chest and radiates into his left arm. The pain has come on suddenly and the man reports feeling very sick, nauseous, and sweaty. It has lasted more than an hour and at one point, the man thought he was going to die. He gives a history of breathlessness and some chest discomfort when moving heavy boxes in his shop over the last six months. Get the instant assignment help. He admits to taking little exercise outside of his work and has gained weight in recent years. He has smoked 15 cigarettes a day since he left school. He had his blood pressure taken once at a visit to his doctor a year or so ago and was told it was high but has been too busy to go back and follow up. There is a strong family history of diabetes mellitus and his older brother has had a heart attack. What would your differential diagnosis include before examining the patient?

Reference no: EM133813191

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