Navigating a Patient’s Chest Pain: A Medical Examination and Differential Diagnosis

Ah, my chest. Sir, are you okay? Ah, my chest hurts. Your chest hurts? Is there anything else you wanna talk about today? You said you’re in pain. Yes, really bad chest pain. I hear that you’re in pain. It’s reasonable that you feel that way. Is it spreading anywhere? Yeah, it hurts in my neck. Okay, I don’t feel any lymph nodes. And next I’m going to look in your ears. Could you go ahead and press one finger to your nose and then to my finger and then back to your nose? What do you like to do in your spare time? What? It’s like you don’t have any reflexes. I’m going to go ahead and listen to you. Could you go ahead and say E? E. Could you go ahead and say 99? 99, sir, my chest hurts. Keep saying 99, please. What are you doing now? I’m trying to listen to bow sounds. Please try to relax. I’m not allowed to say that. Please try to take some deep breaths. Can you go ahead and make a heart with your fingers? Not the Gen Z way. I think I hear an ambulance. Good. I was running out of time. Hey, what’s going on? Oh, hey, good. I don’t even know how old he is, but we have a man who’s here with crushing chest pain. Normal neuro exam. His ACL is intact. Differential includes probably acute MI versus costochondritis versus gird