100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
FLORENCE BLACKMAN I HUMAN CASE STUDY 66 YEARS OLD FEMALE DIAGONISED WITH CHEST PAIN 2 DIFFERENT VERSION FROM EXPERT FEEDBACK LATEST REVIEWED 2024. CA$31.55   Add to cart

Exam (elaborations)

FLORENCE BLACKMAN I HUMAN CASE STUDY 66 YEARS OLD FEMALE DIAGONISED WITH CHEST PAIN 2 DIFFERENT VERSION FROM EXPERT FEEDBACK LATEST REVIEWED 2024.

6 reviews
 85 views  2 purchases
  • Course
  • FLORENCE BLACKMAN I HUMAN CASE 66 YEARS OLD
  • Institution
  • FLORENCE BLACKMAN I HUMAN CASE 66 YEARS OLD

FLORENCE BLACKMAN I HUMAN CASE STUDY 66 YEARS OLD FEMALE DIAGONISED WITH CHEST PAIN 2 DIFFERENT VERSION FROM EXPERT FEEDBACK LATEST REVIEWED 2024.

Preview 3 out of 28  pages

  • April 11, 2024
  • 28
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • FLORENCE BLACKMAN I HUMAN CASE 66 YEARS OLD
  • FLORENCE BLACKMAN I HUMAN CASE 66 YEARS OLD

6  reviews

review-writer-avatar

By: DrReiss • 3 months ago

review-writer-avatar

By: brodaeast5 • 4 months ago

review-writer-avatar

By: brodaeast5 • 5 months ago

review-writer-avatar

By: DrReiss • 5 months ago

review-writer-avatar

By: ferdibas • 6 months ago

IMPRESSED.. with your work

review-writer-avatar

By: ferdibas • 6 months ago

avatar-seller
FLORENCE BLACKMAN I HUMAN CASE STUDY 66 YEARS OLD FEMALE DIAGONISED WITH CHEST PAIN 2 DIFFERENT VERSION FROM EXPER T FEEDBACK LATEST REVIEWED 202 4. VERSION 1 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? - Any other symptoms we should discuss? - Do you have any allergies? - Are you taking any OTC or herbal medications? - Any new or recent changes in medications? - What does the pain / discomfort in your chest feel like? (squeezing, pressure, crushing, burning, stabbing, aching, tingling, suffocating) - How severe (scale 1 -10) is the pain in your chest? 1 - Does anything make the pain in your chest better or worse? - What are the events surrounding the start of your chest pain? - Is there a pattern to your chest pain? - Have you had any trauma to your chest? - Does the pain in your chest radiate someplace else? Where? - Do you have unusual heartbeats (palpitations)? - Does the pain get worse with breathing? - Does your pain awaken you from your sleep? - Is your pain affected by what, when, or how much you eat? - Do you presently have heartburn, a food or acid taste in your mouth? - Do you drink alcohol? If so, what do you drink and how many drinks per day? - Do you have any of the following problems: fatigue, difficulty sleeping, unintentional weight loss or gain, fevers, night sweats? - Do you experience: SOB, wheezing, difficulty catching breath, chronic cough, sputum production? - Does anything make your shortness of breath better or worse? - How long does your SOB last? - Do you have any of the following: heat or cold intolerance, increased thirst, increased sweating, frequent urination, change in appetite? - Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, tremor? - 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? - How is your overall health? - Tell me about your work. - Tell me about daily exercise or sports that you play. Physical Exam: - Vitals: pulse, BP , respirations 2 - Examine skin - Neck: measure JVP (jugular venous pressure) - Neck: auscultate carotid arteries - Chest wall & lungs: o Visual inspection of anterior & posterior chest o Palpate anterior & posterior chest o Auscultate lungs - Heart: o Palpate for PMI (Point of Maximal Impact) o Auscultate heart - Abdomen: o Auscultate abdominal/femoral arteries o Palpate abdomen - Extremities: Visual inspection of extremities Assessment note: - F.B. is a 66 y/o Caucasian female presenting with 2 -week h/o new onset, intermittent, stable chest pain which radiates to the L arm, occurs with SOB, is worse with cold temperatures and exertion, and improved by rest. On physical exam she is pain free with stable vital signs. PMH risk factors include: distant history of smoking (5 pack/years), a history of HTN, and high cholesterol, and a family history of coronary vascular disease. - Stress test: 2 -mm ST segment depression in inferior leads, 2, 3, and aVF and V3 -6 Diagnosis: Coronary artery disease: stable angina Plan: - Determine need for coronary angiography based on stress test results and ECHO. Her Duke score of 10.5 is slightly above moderate risk, and arguments could be made for both a trial at medication intervention since the pt needs improvement on both HTN and HLD o Augment management of preexisting HTN and HLD with a BB (metoprolol 25 mg XR daily); a statin (atorvastatin 40 mg daily); and ASA 81 mg daily - Continue use of HCTZ 25 mg daily - Encourage lifestyle modification:

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller teachme2expert. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$31.55. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$31.55  2x  sold
  • (6)
  Add to cart