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I HUMAN CASE WEEK 7 | BRIAN FOSTER (58-YEAR-OLD MALE), REASON FOR ENCOUNTER: CHEST PAIN (NURS 6512) COMPREHENSIVE CASE WITH ALL NECESSARY ASPECTS, INCLUDING THE CHIEF COMPLAINT (CC), HISTORY OF PRESENT ILLNESS (HPI), PHYSICAL EXAM (PE), DIFFERENTIAL DIAG$28.49
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I HUMAN CASE WEEK 7 | BRIAN FOSTER (58-YEAR-OLD MALE), REASON FOR ENCOUNTER: CHEST PAIN (NURS 6512) COMPREHENSIVE CASE WITH ALL NECESSARY ASPECTS, INCLUDING THE CHIEF COMPLAINT (CC), HISTORY OF PRESENT ILLNESS (HPI), PHYSICAL EXAM (PE), DIFFERENTIAL DIAG
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I human BRIAN FOSTER , chest
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I Human BRIAN FOSTER , Chest
I HUMAN CASE WEEK 7 | BRIAN FOSTER
(58-YEAR-OLD MALE), REASON FOR ENCOUNTER: CHEST PAIN (NURS 6512) COMPREHENSIVE CASE WITH ALL NECESSARY ASPECTS, INCLUDING THE CHIEF COMPLAINT (CC), HISTORY OF PRESENT ILLNESS (HPI), PHYSICAL EXAM (PE), DIFFERENTIAL DIAGNOSTICS
I HUMAN CASE WEEK 7 | BRIAN FOSTER
(58-YEAR-OLD MALE), REASON FOR
ENCOUNTER: CHEST PAIN (NURS 6512)
COMPREHENSIVE CASE WITH ALL NECESSARY
ASPECTS, INCLUDING THE CHIEF COMPLAINT
(CC), HISTORY OF PRESENT ILLNESS (HPI),
PHYSICAL EXAM (PE), DIFFERENTIAL
DIAGNOSTICS
, 1. Chief Complaint (CC)
CC: “I have been having some troubling chest pain in my chest now and
then for the past month.”
2. History of Present Illness (HPI)
Introduction: A focused history is critical in evaluating chest pain to
distinguish between potential life-threatening conditions like angina,
myocardial infarction (MI), or other less serious causes like
musculoskeletal pain or gastroesophageal reflux.
1. Onset
o Clinician: "When did your chest pain start?"
o Patient: "I’ve had three episodes this month, always during
some physical activity."
Explanation: The relationship between physical exertion and pain raises
suspicion for cardiac ischemia (angina), especially if it is relieved by rest.
2. Location
o Clinician: "Where exactly do you feel the pain?"
o Patient: "Right in the middle of my chest."
Explanation: Pain localized to the mid-sternal area is often seen in
ischemic cardiac pain but can also be present in conditions like GERD.
3. Quality of Pain
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