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MY Thoughts on this CASE: Not being there — I am unaware of physical exam parameters ( bloodpressure, respiratory rate; oxygen saturation; heart and lung auscultation, etc. ). PEARL # 2: In the absence of associated heart failure ( cardiogenicshock ) — sinus tachycardia is not a common finding in acute MI.
I looked down at the reason for the visit: “bloodpressure check.” For patients without easy access, we work closely with family members, nurses, and medical assistants who can facilitate virtual visits. That was seven years ago.
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