47 year old man experiencing severe chest pain with exertion - Diagnosis Chart Auscultation Diagnosis Patient Chart History: Patient seen in emergency room complaining of severe chest pain while running in the bay-to-breakers foot race in San Francisco. Patient has type II diabetes and is currently on oral hypoglycemic medication. Strong family history of heart disease. Father died of coronary artery heart disease in early 40s. Physical Exam Admitted with heart rate of 110. Blood pressure 100/65 Test Results: CVC and platelet count normal. Serum sodium count normal. Heart Sounds: Diagnosis What is your diagnosis? Irregular heart rateTricuspid and pulmonic regurgitationRight ventricular S3 due to PAHPericarditis Table of Contents Introduction 150 year old man complaining of swollen ankles 245 year old woman complaining of dizziness with exertion 375 year old man with shortness of breath with minimal exertion 465 year old man experienced fainting episode with exertion. 547 year old man experiencing severe chest pain with exertion Today's Score 0 correct out of 0 attempted. Case #235