{"ops":[{"insert":"A 20 year old refugee presents with recurrent episodes of exertional dyspnea, palpitations and easy fatiguability since childhood. He had not undergone evaluation in his native country.\n\nHis family history is unremarkable, and he is not on any medications.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-222_en.png"}},{"insert":"\n"}]}