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Christina Hammack and Cash Thomas 
Acute Coronary Syndrome (ACS) 
Myocardial Infarction (MI) 
JoAnn Smith, 68 years old 
Primary Concept 
Perfusion 
Interrelated Concepts (In order of emphasis) 
1. Fluid and Electrolyte Balance 
2. Clinical Judgment 
3. Communication 
4. Collaboration 
Christina Hammack and Cash Thomas 
UNFOLDING Reasoning Case Study-STUDENT 
Acute Coronary Syndrome/Acute MI 
History of Present Problem: 
JoAnn Smith is a 68-year-old woman who presents to the emergency department...
JoAnn Smith ACS Myocardial infarction case study/JoAnn Smith ACS Myocardial infarction case study/JoAnn Smith ACS Myocardial infarction case study/JoAnn Smith ACS Myocardial infarction case study/JoAnn Smith ACS Myocardial infarction case study/JoAnn Smith ACS Myocardial infarction case study/JoAnn...
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Appendictis/Appendictomy rapid reasoning answer guidelines > John Washington ( 100% correct)/Appendictis/Appendictomy rapid reasoning answer guidelines > John Washington ( 100% correct)/Appendictis/Appendictomy rapid reasoning answer guidelines > John Washington ( 100% correct)/Appendictis/Appendictomy rapid reasoning answer guidelines > John Washington ( 100% correct)
UNFOLDING Reasoning Case Study-STUDENT 
Acute Coronary Syndrome/Acute MI 
History of Present Problem: 
JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of progressive 
weakness. She denies chest pain, but admits to shortness of breath (SOB) that increases with activity. She also has 
epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. She reports that her 
epigastric pain has gotten worse and i...
Acute Coronary Syndrome (ACS) Myocardial Infarction (MI) Case Study
Acute Coronary Syndrome (ACS) 
Myocardial Infarction (MI) 
JoAnn Smith, 68 years old 
Primary Concept 
Perfusion 
Interrelated Concepts ​(In order of emphasis) 
1. Fluid and Electrolyte Balance 
2. Clinical Judgment 
3. Communication 
4. CollaborationChristina Hammack and Cash Thomas 
UNFOLDING Reasoning Case Study-STUDENT 
Acute Coronary Syndrome/Acute MI 
History of Present Problem: 
JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of p...
NURS HEALTH ASS -JoAnn Smith ACS Case Study/NURS HEALTH ASS -JoAnn Smith ACS Case Study. 
Acute Coronary Syndrome/Acute MI 
History of Present Problem: 
JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of progressive 
weakness. She denies chest pain, but admits to shortness of breath (SOB) that increases with activity. She also has 
epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. She report...
UNFOLDING Reasoning Case Study-STUDENT 
Acute Coronary Syndrome/Acute MI 
History of Present Problem: 
JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of progressive 
weakness. She denies chest pain, but admits to shortness of breath (SOB) that increases with activity. She also has 
epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. She reports that her 
epigastric pain has gotten worse and i...