Robert Ross is a 17 year-old male who presents with acute chest pain, palpitations, fever and malaise. He has had symptoms suggestive of a viral syndrome for the past week, but otherwise has no significant past medical history.

• What questions would you ask to gather important diagnostic information?
• How would you diagnose and manage this 17 year old male whose symptoms include palpitations, fever and malaise?
• Which diagnostic studies would you recommend for this patient. Include the rationale for ALL diagnostics and Labs?
• What physical exam findings and diagnostic results would be concerning to you and why?
• What would be three differentials in this case?
• Identify additional life threatening diagnoses that must be considered when a patient presents with acute chest pain.
• What is the treatment (including rationale) for Robert and education for the family?

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