FLORENCE BLACKMAN IHUMAN CASE STUDY 66 YEAROLD FEMALE – CHEST PAIN 2 DIFFERENT VERSIONS OFTHE ANSWER
VERSION 1
Florence Blackman (66 y/o female) –
... [Show More] 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 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?
1
- 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 weight 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?
- How long does your SOB last?
- Do you have any of the following: 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 with: N/V, constipation, diarrhea,
coffee grounds in your vomit, dark tarry stool, bright red
blood in your BM, early satiety, bloa [Show Less]