Research the Corporate Integrity Agreements (CIA’s) publicly available on the

17 y/o male presenting to the primary care office with new onset chest pain. He has no known past medical history. He reports the pain started acutely yesterday and has gotten worse, 7/10. He is short of breath, more so with exertion. His mother notes chills and fever overnight. He reports a sensation of palpitations. Current medications; none Physical Exam: BP 110/60, HR 98, SP02 98%. Lung sounds clear, No dependent edema. ECG shows ST segment elevation and T wave inversions. Identify the Problem Frame the Differential Diagnosis Organize the Differential Diagnosis Limit the Differential Diagnosis Explore possible diagnosis using History and physical exam findings Rank the differential diagnosis Test your hypotheses Re-rank the differential based on new data Test the new hypotheses

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