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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