Skip to content
CramShare
FreeCase study

Ihuman Florence Blackman 66 Year-old Female - Chest Pain

HEAL100 Health Care — exam and revision material · Other

Updated today

Health Care case material, 17 pages. Originally published on StudyMerit.

Pages
17
Academic year
2025/2026
Language
English

What’s included

Preview 3 of 17 pages

See the first 3 pages exactly as they appear in the document.

Read page 1 as text

0 Ihuman Florence Blackman 66 Year - old Female – Chest Pain 2 DIFFERENT VERSIONS OF THE ANSWER - EXPERT FEEDBACK CONTENTS : ALL QUESTIONS, OLD - CARTS for the HPI,(PMH,FH,SH as Needed),PHSICAL EXAM,EXAMS FEEDBACK,CASE FINDINGS,FEEDBACK,DIFFERENTIAL RANKING ,DIAGNOSIS,CASE PLAN

Read page 2 as text

1 This study source was downloaded by 100000853504600 from CourseHero.com on 01 - 14 - 2023 14:03:38 GMT - 06:00 https://www.coursehero.com/file/67771889/Oral - Comprehensivedocx/ VERSION 1 Florence Blackman (66 y/o female) – Chest Pain • CC: Intermittent squeezing 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 History Questions: - How can I help you today? - Any other symptoms we shou ld discuss? - Do you have any allergies? - Are you taking any OTC or herbal medications? - Any new or recent changes in medications? - What does the pain / discomfort in your chest feel like? (squeezing, pressure, crushing, burning, stabbing, aching, tingling, suffocating) - How severe (scale 1 - 10) is the pain in your chest? - Does anything make the pain in your chest better or worse? - What are the events surrounding the start of your chest pain? - Is there a pattern to your chest pain? - Have you had any trauma to your chest? - Does the pain in your chest radiate someplace else? Where? - Do you have unusual heartbeats (palpitations)? - Does the pain get worse with breathing? - Does your pain awaken you from your sleep? - Is your pain affected by what, when, or how much you eat? - Do you presently have heartburn, a food or acid taste in your mouth? - Do you drink alcohol? If so, what do you drink and how many drinks per day? - Do you have any of the following problems: fatigue, difficulty sleeping, unintentional wei ght loss or gain, fevers, night sweats? - Do you experience: SOB, wheezing, difficulty catching breath, chronic cough, sputum production? - Does anything make your shortness of breath better or worse?

Read page 3 as text

2 This study source was downloaded by 100000853504600 from CourseHero.com on 01 - 14 - 2023 14:03:38 GMT - 06:00 https://www.coursehero.com/file/67771889/Oral - Comprehensivedocx/ - How long does your SOB last? - Do you have any of the fol lowing: heat or cold intolerance, increased thirst, increased sweating, frequent urination, change in appetite? - Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, tremor? - Do you have problems wit h: N/V, constipation, diarrhea, coffee grounds in your vomit, dark tarry stool, bright red blood in your BM, early satiety, bloating? - How is your overall health? - Tell me about your work. - Tell me about daily exercise or sports that you play. Physical Exam: - Vitals: pulse, BP, respirations - Examine skin - Neck: measure JVP (jugular venous pressure) - Neck: auscultate carotid arteries - Chest wall & lungs: o Visual inspection of anterior & posterior chest o Palpate anterior & posterior chest o Auscultate lungs - Heart: o Palpate for PMI (Point of Maximal Impact) o Auscultate heart - Abdomen: o Auscultate abdominal/femoral arteries o Palpate abdomen - Extremities: Visual inspection of extremities Assessment note: - F.B. is a 66 y/o Caucasian female presenting with 2 - week h/o new onset, intermittent, stable chest pain which radiates to the L arm, occurs with SOB, is worse with cold temperatures and exertion, and improved by rest. On physical exam she is pain free with stable vital signs. PMH risk factors include: distant history of smoking (5 pack/years), a history of HTN, and high cholesterol, and a family history of coronary vascular disease. - Stress test: 2 - mm ST segment depression in inferior leads, 2, 3, and aVF a nd V3 - 6 Diagnosis: Coronary artery disease: stable angina Plan: - Determine need for coronary angiography based on stress test results and ECHO. Her Duke score of 10.5 is slightly above moderate risk, and arguments could be made for both a trial at medicati on intervention since the pt needs improvement on both HTN and

That’s the free preview

You’ve read 3 of 17 pages. The whole document is yours with a free account, and it stays in your library.

Others on this course also opened

Free

With a free account