Shadow Health- Brian Foster- Focused
Exam: Chest Pain
Established chief complaint - -Reports chest pain
-Asked about onset and duration of chest pain - -Reports chest pain started
about five minutes ago
Reports chest pain has been constant since it began
Reports sitting in bed when pain began
-Asked to rate chest pain on a scale - -Reports current pain is 6/10
-Asked about on characteristics of the pain - -Describes pain as tight and
uncomfortable
Denies crushing pain
Denies gnawing or tearing pain
Denies burning pain
-Asked about location of the pain - -Reports pain location is in middle of the
chest
Reports slight pain in left shoulder
Denies arm pain
Denies back pain
Denies jaw pain
Denies neck pain
-Asked about pain triggers - -Reports pain is aggravated by movement
-Asked about stress and anxiety - -Reports generally low stress lifestyle
Denies history of anxiety
Denies history of panic attacks
-Asked relevant health history - -Reports high blood pressure
Reports high cholesterol
Denies history of pulmonary embolism
Denies history of angina
Denies history of rheumatic fever
Denies history of heart murmur
-Followed up on high blood pressure treatment - -Reports taking high blood
pressure medication
Reports high blood pressure medication is Lisinopril
High blood pressure medication dose is 20mg
High blood pressure medication is taken once daily
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