WhatsDx.today
Hard Thursday, Sep 3 Cardiology
đŸ‘Ĩ 43 Clinical Minds solved this

Crushing Chest Pain

61M develops 90 minutes of severe retrosternal crushing pain radiating to the left arm with sweating and vomiting. Pain persists despite rest. This is a teaching case selected for the September 2026 daily challenge.
VITALS: BP 100/64, HR 108

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Acute myocardial infarction
Key Insight

Prolonged ischemic chest pain with autonomic symptoms strongly suggests acute myocardial infarction rather than transient stable angina. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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Painless Progressive Jaundice
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Right Upper Quadrant Pain
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Epigastric Pain to Back
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Pleuritic Pain After Long Flight
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Massive Hemoptysis
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Fever with Lobar Signs
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Sudden Pleuritic Pain
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Copious Foul Sputum
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Hyperinflated Chest
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Long-Term Productive Cough
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Recurrent Wheeze
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Raised JVP and Edema
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Holosystolic Apical Murmur
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Opening Snap
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Pain Worse on Inspiration
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Exertional Chest Pain
Medicine â€ĸ 2026-04-01
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Pica with Spoon Nails
Hematology â€ĸ 2026-03-31
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Sudden Collapse with Arrhythmia
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Chronic Productive Cough
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Failure to Pass Urine
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Sudden Vision Loss with Pain
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Persistent Hoarseness
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Painful Red Nodules on Legs
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Sudden Weakness of One Side
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Endocrinology â€ĸ 2026-02-12
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Acute Testicular Pain
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Chronic Diarrhea After Antibiotics
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Elderly Man with Bone Pain and Fractures
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Rheumatology â€ĸ 2026-01-19
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Bloody Diarrhea with Weight Loss
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Sudden Severe Headache
Neurology â€ĸ 2026-01-17
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Dysuria
Surgery â€ĸ 2026-01-16
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Chronic Productive Cough with Clubbing
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Painful Urination After Unprotected Sex
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The Crushing Chest Pain
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Tender Nodules on the Shins
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Frequent Night Urination
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Neck Swelling Moves with Tongue
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Chronic Cough in Smoker
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Painful Swollen Joint
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Yellow Eyes and Dark Urine
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Barking Cough in Child
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Sudden Chest Pain
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Burning on Urination
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Fever with Sore Throat
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Winter Wheeze
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Diagnosis Confirmed
Crushing Chest Pain
GLOBAL RANK
#
TOTAL XP
0
Guest
Solving real clinical cases daily
WhatsDx.today is a daily clinical diagnosis game for medical students and doctors.
One case. One decision. Sharpen your clinical thinking — every day.
WhatsDx.today
Daily Clinical Diagnosis Game
Global Rank
#1
Dr. Medico
Among today’s top diagnosticians
Total Experience
⚡ 1200 XP
WhatsDx.today is a daily clinical diagnosis game for medical students and doctors.
Solve real-world cases and compete with the world