Physical exam: Tietze is probably a real entity but nobody knows exactly what and since it is no danger, and there is no clear case definition, it is moot. Syed rate is famously not sensitive of specific for most stuff. For the chest pain work up, history and physical are key with EKG and enzymes next; sed rate just confuses regardless of results. Glad you exercise; make it lifelong.
Answered 8/1/2017
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