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A 50-year old male teacher notices the sudden onset of “chest tightness” when he walks across the parking lot to and from the school. The pain, which is localized over the sternum, goes away when he sits down. He does not experience any pain or discomfort at other times. He has mild hypertension for which he is on dietary therapy. His cholesterol level is elevated. He does not smoke.
- Give the differential diagnosis and discuss each condition.
- What is the most likely diagnosis?
- Discuss the clinicopathologic correlation of the following:
- What are the risk factors?
- What are the clinical manifestations and most likely mechanism for these symptoms?
- What are the diagnostic work-ups to be done on this patient and possible results?
- What are the morphologic (gross and microscopic) findings in this case?
- What are the complications and prognosis?
- Discuss its management and treatment?