Florence Blackman i-Human
Student’s Name
Institutional Affiliation
Course
Instructor
Date
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Florence Blackman i-Human
HPI Statement
Florence Blackman, a 50-year-old female patient, presented to the clinic with a complaint
of intermittent squeezing chest pain. She noted pain in her mid-chest, which radiated to her left
arm, and experienced shortness of breath during her morning skiing run. She was exercising in
freezing weather. However, the pain declined when she stopped to rest, and the pain subsided
when she skied less aggressively in the subsequent days. After the skiing holiday, she resumed
her regular exercise schedule and did not experience any pain under typical warm weather.
However, the sharp chest pain recurred while she was exercising during cold weather, which
often caused her to rest. When resting, she experienced no pain. The fluctuation of the condition,
especially the chest pain, forced her to visit the clinic.
History
The patient states that she has no drug allergies. She had two pregnancies previously,
none of which survived beyond 24 weeks. She once has mild hypertension and suffered
hypercholesterolemia, and is on medication. She considers herself overweight. The patient
undergoes regular cancer screening and health checks. She has had no abnormalities and checks
her blood pressure every four months. Overall, the patient is physically fit because of threetimes-a-week aerobic exercise. She mainly eats out and prefers fast foods and strives to have a
healthy diet when at home. She manages stress through skiing and aerobics. The patient’s
immunizations are up to date. Her father died aged 65 due to stroke, while the mother died at 54
years of unspecified heart disease. Her 54- year-old sister recently had open-heart surgery. Mrs.
Blackman is divorced and has a supportive husband. The marketing executive is a previous light
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3
smoker who quit. She drinks wine excessively, at least daily, and does not use the recreational
drug.
Physical Exam
The patient is alert and aware of her environment. She can explain her situation clearly
and knows why they reported to the clinic. She has a normal appetite and sleep. Her skin and
breast appear normal. The neck and HEENT exams are normal. She is wheezing because of the
sharp pain she is experiencing, has no active cough or sputum. Her skin is warm and dry. Her
measured body temperature is 98.5 F. Her pulse rate is 72, which indicates regular rhythm. Her
left arm blood pressure is 134/88, and for the right arm is 134/88. She has a respiration rate of
16, regular and unlabored breathing. Her eTCO2 is 37mmhg, spO2 is 96%, and SpCO is 3%.
Diagnostic Testing
Based on the symptoms presented by the patient, I will order the following tests:
1. Myocardial infarction
Chest X-ray PA and lateral
Troponin T (Alenghat & Davis, 2019)
Echocardiogram, transthoracic
A 12-lead electrocardiogram (ECG)
2. Unstable angina
Troponin T
Chest x-ray PA and lateral
Creatine kinase-MB
Echocardiogram, transthoracic [Show Less]