For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases.
Chief complain: A 75-year-old female reports experiencing pain in her chest while walking up steps today.
Subjetive: Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.
VS: BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%
General: obese female, alert, in no acute distress.
HEENTAtraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.
Respiratorio: CTA AP&L
Neck: carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy
Heart: S1 and S2 normal without murmur, gallop, or rub
Once you received your case number, answer the following questions:
1.
What other subjective data would you obtain?
2.
What other objective findings would you look for?
3.
What diagnostic exams do you want to order?
4.
Name 3 differential diagnoses based on this patient presenting symptoms?
5.
Give rationales for your each differential diagnosis.
Submission Instructions:
· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.
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