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I HUMAN CASE WEEK #7 49 Y/R OLD PATIENT (CLASS 6512) REASON FOR ENCOUNTER (DIAGNOSED WITH) ;"INTERMITTENT SQUEEZING CHEST PAIN" |LATEST OCTOBER 2024 CASE STUDY VERSION | VERIFIED 100%$20.49
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I HUMAN CASE WEEK #7 49 Y/R OLD PATIENT (CLASS 6512) REASON FOR ENCOUNTER (DIAGNOSED WITH) ;"INTERMITTENT SQUEEZING CHEST PAIN" |LATEST OCTOBER 2024 CASE STUDY VERSION | VERIFIED 100%
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Course
Nursing
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Walden University
Comprehensive Case Study of FLORENCE BLACKMAN A 49-Year-Old Patient with Intermittent Squeezing Chest Pain (CLASS 6512)| Latest Analysis : iHuman Case Analysis Week #7 / Comprehensive Case Study: FLORENCE BLACKMAN A 49-Year-Old Patient with Intermittent Squeezing Chest Pain (CLASS 6512) | iHuman Ca...
comprehensive case study florence blackman a 49 ye
patient with intermittent squeezing chest pain
i human case week 7 49 year old
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Comprehensive Case Study: Florence Blackman | 49-Year-Old Patient
with Intermittent Squeezing Chest Pain (CLASS 6512) | iHuman Case
Analysis Week #7
, History of Present Illness
A 49-yr-old woman comes to the emergency department because of chest pain.
She says she was in her usual state of health until the day before, when she awoke at 6 am
with the sudden onset of sharp left-sided chest pain.
Pain has been constant and radiates to the center of her chest.
It is not worsened by exertion, movement, food, activity, or respiration. She also had
shortness of breath and chills but no cough, nausea, or diaphoresis.
She took 400 mg of naproxen without relief.
The pain has persisted, prompting her to come to the emergency department now.
She has never had chest pain before this episode and has no known history of cardiac or
pulmonary disease.
, HPQ
What brought you to the clinic today?
"It’s my heart… I was having really bad chest pain. It’s a bit better now, but it still hurts."
How severe is the pain on a scale of 1 to 10?
"Now it’s an 8. On the mountain, it felt like a 12 (weak smile)."
What were you doing when the chest pain started?
"I was going uphill on a cross-country ski course. I’ve done it many times before with no
problem. Today, it was a bit colder than usual, and the entire course felt more difficult."
Does the pain radiate to any other part of your body?
"Yes, it radiates to my left arm."
Do you have any other symptoms or concerns?
"I just started feeling short of breath, which is strange since I’m lying down."
Do you have any history of smoking?
"Yes."
Are you currently taking any prescription medications?
"Yes. I have a list in my wallet." (Medications include Metoprolol 25 mg, Hydrochlorothiazide
"Yes, I’ve had chest pain before, but nothing like this. I almost feel like I might not make it this
time. Am I overreacting?"
Do you have any known allergies?
"Not that I know of."
10. Have you noticed any other symptoms like nausea, sweating, or anxiety?
, "Yes, I feel nauseous and have been sweating. I also feel anxious. I’ve never felt chest pain like
this."
Review of Systems
General: Chills as noted in History of Present Illness. She thought she had a fever but did not
take her temperature.
Skin: Noncontributory
HEENT: No recent URI symptoms.
Pulmonary: As per History of Present Illness.
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