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A 60 year old female with a history of hyperlipidemia and hypertension presented to the clinic complaining of chest discomfort rated 6/10. Accompanied shortness of breath. Denied diaphoresis, nausea, vomiting, dyspepsia, palpitations The pain does not change with body positions. Pain does not radiated to her arm. neck or law and does not awake her from sleep. vitals signs are normal except oxygen sat is 94%, and BMI: obesity. She takes medications for hypertension. She does not exercise. She rarely consumes alcohol and does not smoke. She is ina monogamous relationship Diet is often fast food. Father died from heart attack at 57 and mother is healthy and alive. One sister has diabetes. Physical examination is normal. Medications talking for high blood pressure are lisinopril and hydrochlorothiazide. She refused to take the prescribed medications for her high cholesterol

Introduction
Should be a paragraph that provides a brief overview of the case and main diagnosis:

1-Stable Angina:
:

                                     Differential Diagnoses

Differential Diagnosis:
Provide EACH differential diagnosis with the rationale and supporting evidence with the REFERENCE for each one. Also explain why differentials (2&3) were not the primary diagnosis.

1- Stable Angina:
2- Gastroesophageal reflux:
2- Myocardial infarction:

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