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Comprehensive Case Study: FLORENCE BLACKMAN A 49-Year-Old Patient with Intermittent Squeezing Chest Pain (CLASS 6512) | iHuman Case Analysis Week #7$18.49
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iHuman 77 Case 77 Study: 77 Patient 77 77 with Chest 77 Pain
7 7 7 7 7 7 27 7 7 7
Patient Profile: The patient is a 49-year-
old 7 7 7 7 7 7 7 7 27 7 7
male 77 77 77 77 77 77 77 77
who presents to the emergency department with complaints of chest pain. He reports 7 7 27 7 7 7 7 that the pain began 77 suddenly 77 while 77 77 77 he was gardening 77 77 77 and has 7 77
lasted for approximately77 7 30 minutes. 7 7 7 7 7 7 27
The pain is des
cribed7 7 7 27 7 7 77 77 77 77
as 7 7 7 7 27 7 7 27 7 7
a pressure sensation, rated 8/10 in intensity, and is located in the center
of 77 7 his chest. 77 77 The patient 77 77 also reports 77 associated 77 symptoms 77 77 of shortness 77 77 of breath, 77 diaphoresis, 77 7 7 and mild 77 nausea.
Medical 77 History: 77 77 The patient 77 77 77 has a significant 77 medical 77 history, 77 including 7 hypertension 77 77 and hyperlipidemia. 77 77 7 He has been77 77 on medication 77 77 77 for both conditions 77 77 but admits 77 77 77 to poor adherence 77 77 77 due to financial 77 constraints. 77 His
77 family 77 history 77 77 is notable 77 77 for cardiovascular 77 disease; 77 77 his father 77 77 77 had a myocardial 77 infarction 77 77 7 77 77 77 77
at a ge 60, and his mother 7 7 7 7 27 had a stroke. 77 77 The patient 7 7 7 7 27is a current 77 smoker, 7 with 77 77 a 30-pack-
7 7 year 7 smoking 7 history, 7 and 7 7 he occasionally 7 consumes 27 alcohol.
Physical 77 77 7 77 77 Examination: Upon examination, the patient77 77 7 77 77 77 77 77 77
appears anxious and in mild distress. Vital signs reveal 77 77 a blood 77 pressure 77 77 of 150/95 7 mmHg, 77 77 a heart 77 77 77 7 rate of 98 beats 7 77 per minute, 77 77 7 and a respiratory 77 77 77 77rate of 20
breaths 77 77 77 77 7 77 per minute with an oxygen 77 77 7 77 7 77 77
saturation 77 7
of 95% on room air. Cardiac examination reveals an
irregular 77 rhythm, 7 7 7 7 27 but no murmurs 77 77 or gallops 77 77 are appreciated. 77 Lung 77 auscultation 7 7 27 7 7 7 7 is cl ear bilaterally, 77 77 and there 7 7 27 7 7 are no signs 77 77 of peripheral 27 edema.
77 77 77 77 77 77 77
Diagnostic Tests: The initial workup includes an electrocardiogram 77 77 (ECG), which 77 shows 77 ST-segment 77 elevation 27 7 7 7 7 in the 77
anterior leads, 77 suggestive 77 77 77 of an acute 77 myocardial 77 infarction 7 77
(MI). Cardiac 77 biomarkers, 77 including 7 troponin 27 27 v I and 77
creatine kinase-
MB, 77 77 7 7 27 7 7 7 77 77
are obtained, showing elevated levels consistent with myocardial77 injury.
Management 77 77 and Treatment: 77 77 The patient 77 v is immediately 77 placed 77 77 on oxygen 7 therapy, 77 77 and intravenous 77 access 77 77 is established 77 77 for medication 27 administration. 77 77 77 He is given 27 aspirin 77 77 and nitroglycerin 7 7 27 7 7 7 for chest pain relief. 77 77 The cardiology 77 77 team is
77 consulted, 77 77 77 and the patient 77 7 is prepared 7 27 for potential 77 cardiac 77 catheterization 7 7 27 to evaluate 77 77 for coronar 7 7 y artery 7 disease.
Discussion: 77 7 77 77 77 77 77
This 7 77 77 77
case77 77 77 77 77 7 77
highlights the importance of recognizing the signs and symptoms of acute coronary syndrome, especially in patients 77 77 27 7 7 7 7 v 7 7
with 77 significant risk factors such as hypertension, hyperlipidemia, 7 7 27 7 7 and a strong 7 family7
7 77 77 77 77 77
history 77 77
of 77 77 7 77 7 7 7 7 7 7 7 27 7 7 27
heart disease. Early identification and intervention are crucial to minimize my ocardial damage and improve patient outcomes. 77 77 77 77 77
The patient’s history of non-
7 7 27
adherence7 7 27 7 7 7 7
to 7 27 7 7 77 7 v 7
medications 7 7 also emphasizes the need for comprehensive patient education regarding the importance of managing chronic conditions and lifestyle7 7 7 7 v 7 7
modifications, including smoking cessation and dietary changes.
In77 77 v 77 77 77 conclusion, the case of this 49-year-
77
old 77 77 77 v 27 v 7 7 7 7 7 7 7 7
patient 77 77with77 77 77 77 77 77 chest 77 pain underlines the critical need for prompt assessment and management of potential cardiac events in emergency settings. 77 77 77 It also serves 7 7 7 7 27 as a reminder 7 7 7 7 27 7 7 of the role healthcare 77 professionals 7 play 77 in
27 7 7 7 7 7 7 7 7 27 7 7 7 7 7 7
educating 77 77 77 77 7 7
patients 7 7 7 27 27 7 about their health risks and the significance of adherence to treatment plans. iHuman Case Study: Patient with Chest Pain
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