Chronic myocardial ischemia often presents with a fairly typical history, but patients can present with atypical chest pain or pain referred to a less-typical location like the jaw, stomach, or back. Sometimes patients describe symptoms usually not attributed to heart disease, like indigestion or feeling cold and clammy, in the…
The most common presentation of acute rheumatic fever in adults is a febrile illness with an additive or migratory polyarthritis that is present on average in 92%; of patients (range, 43–100%), or tenosynovitis usually of the wrists and ankles (67%. 1,2 Carditis, present in 15 to 35% of patients, is…
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