Chest pain is common. The dangerous diagnosis is the one you cannot afford to miss.

In Episode 1 of The Clinical Next Step, we work through chest pain using a practical Canadian clinical-reasoning approach for MCCQE preparation.

This episode focuses on the decisions that matter: recognizing an unstable patient, building a dangerous-first differential diagnosis, selecting targeted investigations, choosing the appropriate next step in management, and planning safe disposition and follow-up.

Topics covered include:

• Initial assessment and recognition of instability • Acute coronary syndrome • Aortic dissection / acute aortic syndrome • Pulmonary embolism • Tension pneumothorax • Pericarditis and cardiac tamponade • Essential investigations and interpretation • Immediate management p ...