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Comprehensive Case Study: Expert Evaluation of a 69-Year-Old Male Presenting with Chest Pain in an Outpatient Clinic Setting (CLASS 6531) | iHuman Case Analysis| Latest Version£17.41
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Comprehensive Case Study: Expert Evaluation of a 69-Year-Old Male Presenting with Chest Pain in an Outpatient Clinic Setting (CLASS 6531) | iHuman Case Analysis| Latest Version
69-Year-Old Male With Chest Pain (CLASS 6531) LOCATION ; OUTPATIENT CLINIC WITH X-RAY,ECG,AND LABORATORY CAPABILITIES | I HUMAN CASE WEEK #4 69 YEAR OLD MALE REASON FOR ENCOUNTER:CHEST PAIN (CLASS 6531) LOCATION ;OUTPATIENT | I HUMAN CASE WEEK #4 69 YEAR OLD MALE REASON FOR ENCOUNTER:CHEST PAIN (CL...
Comprehensive I Human Case Study: 69-Year-Old
Male With Chest Pain (Class 6531) Location;
Outpatient Clinic WITH X-RAY,ECG,Ac Setting ( Class
6531) | Latest iHuman Case Analysis
,I-human
• CC: 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
HPQ
1) How can I help you today?
"I'm experiencing chest pain, especially when I'm exerting myself. It tends to radiate to
my left arm and is relieved by rest."
2) Any other symptoms we should discuss?
"Yes, I also feel short of breath when I'm active, and it gets worse in cold weather."
3) Do you have any allergies?
"No, I don't have any known allergies."
4) Are you taking any OTC or herbal medications?
"No, I’m not currently taking any over-the-counter or herbal medications."
5) Any new or recent changes in medications?
"No, my medications haven’t changed recently."
6) What does the pain/discomfort in your chest feel like?
"It feels like a squeezing or pressure in the middle of my chest."
, I-human
7) How severe (scale 1-10) is the pain in your chest?
"I’d say it’s around a 6 or 7 when it’s at its worst."
8) Does anything make the pain in your chest better or worse?
"Rest makes it better, but it gets worse with exertion and in cold weather."
9) What are the events surrounding the start of your chest pain?
"It usually starts when I’m doing something physical or under stress at work."
10) Is there a pattern to your chest pain?
"Yes, it usually happens when I’m active or stressed, and it eases with rest."
11) Have you had any trauma to your chest?
"No, I haven’t had any chest trauma."
12) Does the pain in your chest radiate someplace else? Where?
"Yes, it radiates to my left arm."
13) Do you have unusual heartbeats (palpitations)?
"No, I haven’t noticed any palpitations."
14) Does the pain get worse with breathing?
"No, breathing doesn’t seem to affect it."
15) Does your pain awaken you from your sleep?
"No, it doesn’t wake me up at night."
16) Is your pain affected by what, when, or how much you eat?
"No, eating doesn’t seem to make a difference."
17) Do you presently have heartburn, a food or acid taste in your mouth?
"No, I don’t have heartburn or any strange tastes."
18) Do you drink alcohol? If so, what do you drink and how many drinks per day?
"Occasionally, I have a glass of wine with dinner, but that’s about it."
19) Do you have any of the following problems: fatigue, difficulty sleeping,
unintentional weight loss or gain, fevers, night sweats?
"I do feel fatigued sometimes, but I haven’t had any weight changes, fevers, or night
sweats."
20) Do you experience: SOB, wheezing, difficulty catching breath, chronic cough,
sputum production?
"Yes, I feel short of breath when I'm active."
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