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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M23_F4.jpg"}},{"insert":"\n\n"},{"insert":"A young lady walks in, introducing herself as Amber, a 22-year-old student at the local university. She is visibly distraught and does not meet your eye.\n\n\u0022I\u0027ve been having this odd pain in my legs for the last couple of days. It\u0027s hard to walk. Yesterday I suddenly couldn\u0027t breathe during class, like a weight was holding my chest down.\u0022\n\n\u0022Have you been having palpitations too?\u0022 you ask, and she nods in the affirmative.\n\n\u0022What about similar symptoms previously, hyperventilation, or a feeling of impending doom, like something terrible might happen, but you don\u0027t know exactly what?\u0022\n\n\u0022No, none of those, doctor,\u0022 she responds, still not meeting your eye.\n\nAmber also denies having a cough, wheezing, chest tightness, or easy fatiguability. You inquire about school to which she replies shortly, sounding somewhat subdued: \u0022It\u0027s fine.\u0022\n"}]}