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Mrs. Heart

Mrs. Heart, a 60 year old retired woman, comes to the emergency room because she is feeling very unwell. Her husband has accompanied her. She is nauseated and complains of back pain; she took aspirin and antacids at home which have not provided any relief. She looks uncomfortable and is breathing with difficulty.

1.What would be the differential diagnosis for her presentation?
2.What other questions should you ask about her pain?