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CardiologyHigh Yield

Case #47: Acute Chest Pain

Time Remaining
18:42
Patient Presentation

45-year-old male presents to the ED with acute onset substernal chest pain radiating to left arm, associated with diaphoresis and nausea. Pain started 2 hours ago while climbing stairs.

BP
158/94
HR
98 bpm
SpO2
96%
Smart Guidance

Think: ACS until proven otherwise. Your immediate priorities should be:

1
Order ECG immediately (within 10 min)
2
Troponin, CBC, BMP, lipid panel
3
Aspirin 325mg STAT
Type to search orders (e.g., "ECG", "troponin")...

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The Problem

Traditional CCS prep is broken

Most students spend 40+ hours doing case after case, only to feel unprepared when test day throws them a curveball.

1

Endless Case Practice

You've done 50, 100, even 200 cases—but you still feel unprepared for unexpected scenarios.

2

Guessing on Unfamiliar Cases

When you hit a case you haven't seen, you freeze. What do you order first?

3

Missing Easy Points

Even when you get the diagnosis right, you're losing points on order sequencing.

The Solution

Master the framework,
not just the cases

Our core method teaches systematic thinking that top scorers use. Practice with 250+ cases to reinforce—you'll know the approach for any case.

Systematic Framework

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Exact Order Sequences

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Decision Triggers

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Score Maximization

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Case Presentation

45-year-old male presents with acute chest pain radiating to left arm, diaphoresis...

Clinical Thinking

Acute coronary syndrome until proven otherwise. Stabilize → Diagnose → Treat.

Optimal Order Sequence

1ECG (within 10 min)
2Troponin, CBC, BMP
3Aspirin 325mg
4Nitroglycerin PRN
Expected Score
95%+

How It Works

A clear path to mastery

01

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Quick start
02

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03

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04

Pass Your Exam

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Exam day

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