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Which of these would you treat first? C is the priority because the symptoms suggest acute coronary syndrome (ACS)…potentially an active myocardial infarction. Chest pressure accompanied by diaphoresis and nausea is concerning for myocardial ischemia and represents an immediate threat to life. This patient needs rapid assessment, ECG, aspirin when appropriate, and EMS/ED transfer rather than routine urgent-care management. The other choices are alarming as well, but aren’t necessarily immediatel
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When POTS patients first come to the clinic, one of the first things that gets looked at is what's going on with their eyes. It sounds like an odd place to start, but a tool called video oculography, kind of like a VR headset, measures exactly how someone's eyes move in response to a specific stimulus. Tracking side to side, jumping between targets, and moving horizontally versus vertically all use different pathways in the brain, so watching which ones work well and which ones don't helps trian
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