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Comprehensive Case Study: FLORENCE BLACKMAN A 49-Year-Old Patient with Intermittent Squeezing Chest Pain (CLASS 6512) | iHuman Case Analysis Week #717,10 €
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iHuman 11 Case 11 Study: 11 Patient 11 11 with Chest 11 Pain
1 1 1 1 1 1 21 1 1 1
Patient Profile: The patient is a 49-year-
old 1 1 1 1 1 1 1 1 21 1 1
male 11 11 11 11 11 11 11 11
who presents to the emergency department with complaints of chest pain. He reports 1 1 21 1 1 1 1 that the pain began 11 suddenly 11 while 11 11 11 he was gardening 11 11 11 and has 1 11
lasted for approximately11 1 30 minutes. 1 1 1 1 1 1 21
The pain is des
cribed1 1 1 21 1 1 11 11 11 11
as 1 1 1 1 21 1 1 21 1 1
a pressure sensation, rated 8/10 in intensity, and is located in the center
of 11 1 his chest. 11 11 The patient 11 11 also reports 11 associated 11 symptoms 11 11 of shortness 11 11 of breath, 11 diaphoresis, 11 1 1 and mild 11 nausea.
Medical 11 History: 11 11 The patient 11 11 11 has a significant 11 medical 11 history, 11 including 1 hypertension 11 11 and hyperlipidemia. 11 11 1 He has been11 11 on medication 11 11 11 for both conditions 11 11 but admits 11 11 11 to poor adherence 11 11 11 due to financial 11 constraints. 11 His
11 family 11 history 11 11 is notable 11 11 for cardiovascular 11 disease; 11 11 his father 11 11 11 had a myocardial 11 infarction 11 11 1 11 11 11 11
at a ge 60, and his mother 1 1 1 1 21 had a stroke. 11 11 The patient 1 1 1 1 21is a current 11 smoker, 1 with 11 11 a 30-pack-
1 1 year 1 smoking 1 history, 1 and 1 1 he occasionally 1 consumes 21 alcohol.
Physical 11 11 1 11 11 Examination: Upon examination, the patient11 11 1 11 11 11 11 11 11
appears anxious and in mild distress. Vital signs reveal 11 11 a blood 11 pressure 11 11 of 150/95 1 mmHg, 11 11 a heart 11 11 11 1 rate of 98 beats 1 11 per minute, 11 11 1 and a respiratory 11 11 11 11rate of 20
breaths 11 11 11 11 1 11 per minute with an oxygen 11 11 1 11 1 11 11
saturation 11 1
of 95% on room air. Cardiac examination reveals an
irregular 11 rhythm, 1 1 1 1 21 but no murmurs 11 11 or gallops 11 11 are appreciated. 11 Lung 11 auscultation 1 1 21 1 1 1 1 is cl ear bilaterally, 11 11 and there 1 1 21 1 1 are no signs 11 11 of peripheral 21 edema.
11 11 11 11 11 11 11
Diagnostic Tests: The initial workup includes an electrocardiogram 11 11 (ECG), which 11 shows 11 ST-segment 11 elevation 21 1 1 1 1 in the 11
anterior leads, 11 suggestive 11 11 11 of an acute 11 myocardial 11 infarction 1 11
(MI). Cardiac 11 biomarkers, 11 including 1 troponin 21 21 v I and 11
creatine kinase-
MB, 11 11 1 1 21 1 1 1 11 11
are obtained, showing elevated levels consistent with myocardial11 injury.
Management 11 11 and Treatment: 11 11 The patient 11 v is immediately 11 placed 11 11 on oxygen 1 therapy, 11 11 and intravenous 11 access 11 11 is established 11 11 for medication 21 administration. 11 11 11 He is given 21 aspirin 11 11 and nitroglycerin 1 1 21 1 1 1 for chest pain relief. 11 11 The cardiology 11 11 team is
11 consulted, 11 11 11 and the patient 11 1 is prepared 1 21 for potential 11 cardiac 11 catheterization 1 1 21 to evaluate 11 11 for coronar 1 1 y artery 1 disease.
Discussion: 11 1 11 11 11 11 11
This 1 11 11 11
case11 11 11 11 11 1 11
highlights the importance of recognizing the signs and symptoms of acute coronary syndrome, especially in patients 11 11 21 1 1 1 1 v 1 1
with 11 significant risk factors such as hypertension, hyperlipidemia, 1 1 21 1 1 and a strong 1 family1
1 11 11 11 11 11
history 11 11
of 11 11 1 11 1 1 1 1 1 1 1 21 1 1 21
heart disease. Early identification and intervention are crucial to minimize my ocardial damage and improve patient outcomes. 11 11 11 11 11
The patient’s history of non-
1 1 21
adherence1 1 21 1 1 1 1
to 1 21 1 1 11 1 v 1
medications 1 1 also emphasizes the need for comprehensive patient education regarding the importance of managing chronic conditions and lifestyle1 1 1 1 v 1 1
modifications, including smoking cessation and dietary changes.
In11 11 v 11 11 11 conclusion, the case of this 49-year-
11
old 11 11 11 v 21 v 1 1 1 1 1 1 1 1
patient 11 11with11 11 11 11 11 11 chest 11 pain underlines the critical need for prompt assessment and management of potential cardiac events in emergency settings. 11 11 11 It also serves 1 1 1 1 21 as a reminder 1 1 1 1 21 1 1 of the role healthcare 11 professionals 1 play 11 in
21 1 1 1 1 1 1 1 1 21 1 1 1 1 1 1
educating 11 11 11 11 1 1
patients 1 1 1 21 21 1 about their health risks and the significance of adherence to treatment plans. iHuman Case Study: Patient with Chest Pain
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