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Which of these would you treat first? C is the priority because the symptoms suggest acute coronary syndrome (ACS)…potentially an active myocardial infarction. Chest pressure accompanied by diaphoresis and nausea is concerning for myocardial ischemia and represents an immediate threat to life. This patient needs rapid assessment, ECG, aspirin when appropriate, and EMS/ED transfer rather than routine urgent-care management. The other choices are alarming as well, but aren’t necessarily immediatel
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Small fiber neuropathy symptoms can be confusing because many people experience strange sensations before they ever have an explanation. Burning feet, tingling, pins and needles, electric shock sensations, bugs crawling on the skin, phantom cobwebs on the face, unexplained itching, stabbing nerve pain, and temperature sensitivity are all symptoms that deserve a conversation with your healthcare provider. Small fiber neuropathy can occur alongside autoimmune diseases, including Sjogren’s disease,
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