Ihuman Case Study: Jacob Abraham 58years Old Male: Cc Burning chest discomfort (100%Solved)
2023/2024 A+.
Ihuman Jacob Abraham
58y/o
Reason for
... [Show More] encounter: Burning chest discomfort
:Questions
1. HowcanIhelpyoutoday
a.“Ivebeenha vingsomechestdiscomfort.”
2. Doyouhaveanyothersymptomsorconcernsweshoulddiscuss?
3. Whendidthepaininyourcheststart
4. Isyourchestpainprecipitatedbyexercise
5. Doesanythingmakethepaininyourchestbeterorworse
6. Wheremorepreciselyisthepaininyourchest
7. Howsevere(1-10)isthepaininyourchest
a. 4-5/10
8. Doesthepaininyourchestradiatesomeplaceelse?
a. Movesupintoneck(pointingtoadamsapple)
9. Haveyouhadthepaininyourchestbefore?
10.Anychangeinyourchestpainsinceitbegan
11.Howlongdoesyourchestpainlast
a. Last30minutes
12.Howoftendoesthischestpainocur
13.Doyoudrinkalcohol?Ifsowhatdoyoudrinkandhowmanydrinksperday?
a. 1drinkpostdinner,notQnight.
14.Canyoutellmeaboutyourdiet?Whatdoyounormallyeat?
15.Doyouhaveanyproblemswithfatigue,difficultysleeping,unintentionalweightlossorgain
16.Doyouexperienceshortnessofbreath,wheezing,difficultycatchingyourbreath
17.Doyouhaveproblemswithnauseavomitingconstipationdiarrheacoffeegroundsinyourvomit
18.Hasdrinkingalcoholevercauseyouproblems?
19.Haveyoueverfeltyouneeded tocutdownonyourdrinking?
20.Haveyoueverbeenannoyedatanyoneforsugestingthatyoucutbackinyouralcoholconsumption?
21.Doyouneedanalcoholicdrinkfirsthinginthemorning?
22.Whenandwhatdidyoulastdrink?
23.Doyoupresentlyhaveheartburn,afoodoracidtasteinyourmouth?
24.Doyouhaveahistoryofheartburn?
25.Doyouhaveanyproblemswithnervousness,depression,lackofinterest,sadness…
26.Doyouhavedifficultybreathing
27.Hasanyonesugestedthatyoushouldreducetheamountofalcoholyoudrink
:::MISSING
in PMH 1
in Etiology 1
Diagnosis: GERD
:Differential diagnosis
:Madalyn put
Unstable angina -
GERD -
Pneumonia -
Aortic dissection -
Acute coronary syndrome -
Sprain/strain -
Gastritis -
Peptic ulcer disease -
Dyspepsia, functional -
:I put
- GERD
- Peptic ulcer disease
- Achalasia
- Gastritis
- Dyspepsia
- Gastroparesis
Coronary artery disease -
Hiatal hernia -
Pancreatitis, chronic -
:Findings
Poor eating habits -
Alcohol use -
Obesity -
Burning chest pain radiating into the neck -
Lack of exercise. [Show Less]