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COMPREHENSIVE CASE STUDY OF FLORENCE BLACKMAN iHUMAN 49-YEAR-OLD FEMALE PRESENTS WITH “INTERMITTENT SQUEEZING CHEST PAIN” | THOUROUGH ANALYSIS$22.49
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CASE STUDY I HUMAN FLORENCE BLACKMAN 66-
YEAR-OLD FEMALE WITH CHEST PAIN
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,Florence Blackman (66 y/o female) – Chest Pain
• CC: Intermittent squeezing chest pain
• MSAP: Exertional “squeezing” mid-chest pain radiating to left arm, relieved by rest,
worse with cold
• Associated dyspnea on exertion
• History: HLD, HTN, previous smoker, family hx of heart disease Stressful work
History Questions:
How can I help you today?
I’ve been experiencing intermittent squeezing chest pain for the past two weeks, which gets worse with exertion
and cold weather.
Any other symptoms we should discuss?
I sometimes get short of breath, especially when I’m active, but no other major symptoms.
Do you have any allergies?
No, I don’t have any known allergies.
Are you taking any OTC or herbal medications?
I’m not currently taking any over-the-counter or herbal medications.
Any new or recent changes in medications?
No, I haven’t had any recent changes in my medication regimen.
What does the pain/discomfort in your chest feel like?
The pain feels like squeezing pressure, mostly in the middle of my chest, and it radiates to my left arm.
How severe (scale 1-10) is the pain in your chest?
I’d say it’s about a 7 when it’s at its worst.
Does anything make the pain in your chest better or worse?
Rest usually helps, but exertion or being out in the cold makes it worse.
What are the events surrounding the start of your chest pain?
It typically starts when I’m walking or doing something physically exerting, and it eases up when I stop.
Is there a pattern to your chest pain?
Yes, it happens with exertion, like walking up stairs, and gets worse when it's cold outside.
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, Have you had any trauma to your chest?
No, I haven’t had any chest trauma.
Does the pain in your chest radiate someplace else? Where?
Yes, it radiates to my left arm.
Do you have unusual heartbeats (palpitations)?
No, I haven’t noticed any palpitations.
Does the pain get worse with breathing?
No, my pain doesn’t seem to get worse with breathing.
Does your pain awaken you from your sleep?
No, I haven’t been woken up by the pain during sleep.
Is your pain affected by what, when, or how much you eat?
No, eating doesn’t seem to affect the pain.
Do you presently have heartburn, a food or acid taste in your mouth?
No, I don’t have heartburn or a sour taste in my mouth.
Do you drink alcohol? If so, what do you drink and how many drinks per day?
I have a glass of wine occasionally, but nothing regularly.
Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or
gain, fevers, night sweats?
I’ve been feeling a little more tired lately, but no other major issues like fever, weight changes, or night sweats.
Do you experience: SOB, wheezing, difficulty catching breath, chronic cough, sputum production?
I do experience shortness of breath, but no wheezing or chronic cough.
Does anything make your shortness of breath better or worse?
Resting helps, and exertion makes it worse.
How long does your SOB last?
It usually lasts a few minutes after exertion and improves once I rest.
Do you have any of the following: heat or cold intolerance, increased thirst, increased sweating,
frequent urination, change in appetite?
I don’t have any problems with heat or cold intolerance, thirst, sweating, or appetite changes.
Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness, numbness,
tingling, tremor?
I don’t have any dizziness, fainting, or tingling.
Do you have problems with: N/V, constipation, diarrhea, coffee grounds in your vomit, dark tarry
stool, bright red blood in your BM, early satiety, bloating?
No, I haven’t had any of those gastrointestinal symptoms.
How is your overall health?
Overall, I feel okay, except for the chest pain and shortness of breath.
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