Nursing homework help
Chief Complaint (CC):” I have been having some troubling chest pain in my chest now and then for the past month.”
History of Present Illness: Mr. Foster is a 58-year- male who presents to the clinic stating that he has been experiencing “chest pain with exertion such as overeating and doing yard work.” He states, “I feel it mostly in the middle of my chest over my heart.” He describes the pain as “tight and uncomfortable” with a pain level of 5/10, non-radiating, lasting for a few minutes, and goes away when at rest. The most recent chest pain episode was a week ago when he had to use the stairs at work because the elevator was broken. At first, he thought the chest pain was a heartburn that will go away but after the last episode he became concern wanted his heart checked.He denies experiencing cramps in the legs, shortness of breath, heartburn and constipation. Nursing homework help
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Medications: Lisinopril (Prinivil) 20mg PO daily
Atorvastatin (Lipitor) 20mg PO daily at bedtime, last dose yesterday (hyperlipidemia).
Omega-3 Fish Oil 1200mg PO BID last dose 8am (OTC supplement).
Allergies:Codeine – Nausea and vomiting
Immunization: Tdap 10/24
Influenza vaccine this season
Medical History: Hypertension – Stage 11, diagnosed 1year ago
Hyperlipidemia – diagnosed 1year ago
No surgical history
Last EKG at annual physical 3 months ago, results were normal
Annual stress test, last 4 months ago and the results were normal.
Family History:
Father:Hypertension, hyperlipidemia, obesity, died of colon cancer, age 75
Mother: type 2 diabetes, hypertension at age 80.
Brother: Died at age 24 in a motor vehicle accident
Sister: Type 2 diabetes, hypertension, age 52.
The patient present to the clinic stating, ” he reports that he has been experiencing chest pain with exertion such as overeating and doing yard work. He states, I feel it mostly in the middle of my chest over my heart.” He describes the pain as “tight and uncomfortable” with a pain level of 5/10, non-radiating, lasting for a few minutes, and goes away when at rest. The most recent chest pain episode was a week ago when he had to use the stairs at work because the elevator was broken. At first, he thought the chest pain was a heartburn that will go away but after the last episode he became concern wanted his heart checked.He denies experiencing cramps in the legs, shortness of breath, heartburn and constipation. Nursing homework help
