I HUMAN CASE WEEK 7 FLORENCE BLACKMAN | A 49-YEAR-OLD FEMALE, REASON FOR ENCOUNTER: INTERMITTENT SQUEEZING CHEST PAIN (NURS 6512) COMPREHENSIVE CASE WITH ALL NECESSARY ASPECTS.
(NECESSARY ASPECTS, INCLUDING THE CHIEF
COMPLAINT (CC), HISTORY OF PRESENT ILLNESS
(HPI), PHYSICAL EXAM (PE), DIFFERENTIAL
DIAGNOSIS AND MANAGEMENT PLAN)
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• Patient name :Florence blackman
• Age: 49 years old
• Height: 5'6" (168 cm)
• Weight: 158 lbs (71.8 kg)
• Reason for Encounter: Intermittent squeezing chest pain
Florence Blackman (49 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
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• Stressful work
History Questions:
- How can I help you today?
- Any other symptoms we should 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?
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