Florence Blackman Ihuman Case Study 66 Year-Old Female Chest Pain 2-All Versions

FLORENCE BLACKMAN IHUMAN CASE STUDY 66 YEAR-OLD FEMALE - CHEST PAIN 2-ALL VERSIONS Student Worksheet for iHuman Case Debrief Think about the clinical presentation that you would expect for each diagnosis. What signs & symptoms did the patient present with that were consistent with/expected for that diagnosis? (Include history findings (HPI, ROS, SH, FH, PMH), physical exam findings, and diagnostic tests). What history/signs/symptoms/diagnostics would you expect for that diagnosis that was lacking? DIAGNOSIS: Unstable Angina Pertinent Positives List the Findings Rationale Subjective findings (HPI, ROS, PMFSH) Constriction in middle of chest Chest discomfort started during exercise. Pain radiating to left arm Shortness of breath History of hypertension History of hyperlipidemia History of smoking Diagnosis of coronary artery disease Stressful work environment Family history of heart These symptoms that the patient experienced are associated with unstable angina. The risk factors also align with the diagnosis of unstable angina.disease Objective findings (Physical Exam & Diagnostics) Lipid profile showed a cholesterol level of 200 and an HDL of 45 No evidence of cardiomegaly seen on CXR No evidence of ischemia seen on 12 lead ECG Troponin was not elevated TEE showed no evidence of structural or functional abnormality CK-MB was not elevated BMP