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1. 65-year-old male with history of CAD was referred by orthopedic surgeon for pre-operative risk stratification. 2. 57-year-old female is admitted for severe right lower quadrant abdominal pain. 3. 45 year old male with history of aortic valve replacement with a bi-leaflet mechanical valve on anticoagulation with coumadin is admitted with abdominal pain and jaundice.