SOLVED CASE STUDY: COMPREHENSIVE
ASSESSMENT OF INTERMITTENT
SQUEEZING CHEST PAIN IN FLORENCE
BLACKMAN A 49-YEAR-OLD FEMALE – CC,
HPI, PE, DIAGNOSIS, AND FOLLOW-UP
TREATMENT
, step-by-step assessment for Florence Blackman, a 49-year-old female presenting
with intermittent squeezing chest pain:
1. Chief Complaint (CC)
• Chief Complaint: Intermittent squeezing chest pain.
o Florence's main concern is chest pain, described as "squeezing,"
which will guide the subsequent investigation into possible
cardiovascular, respiratory, or gastrointestinal causes.
2. History of Present Illness (HPI)
This portion gathers detailed information about the onset, nature, and
characteristics of Florence's chest pain.
1. Onset:
o Questions:
▪ "When did you first notice the chest pain?"
▪ "Was there a specific event or activity that brought it on?"
▪ "Does it occur suddenly or gradually?"
o Purpose: Identifying when the pain started can help in determining
the potential trigger and guide us to possible acute or chronic causes.
2. Duration:
o Questions:
▪ "How long does each episode of pain last?"
▪ "Has the pain become more frequent or intense over time?"
o Purpose: Chest pain lasting for several minutes to hours might
suggest different causes (e.g., cardiac ischemia vs. musculoskeletal
ASSESSMENT OF INTERMITTENT
SQUEEZING CHEST PAIN IN FLORENCE
BLACKMAN A 49-YEAR-OLD FEMALE – CC,
HPI, PE, DIAGNOSIS, AND FOLLOW-UP
TREATMENT
, step-by-step assessment for Florence Blackman, a 49-year-old female presenting
with intermittent squeezing chest pain:
1. Chief Complaint (CC)
• Chief Complaint: Intermittent squeezing chest pain.
o Florence's main concern is chest pain, described as "squeezing,"
which will guide the subsequent investigation into possible
cardiovascular, respiratory, or gastrointestinal causes.
2. History of Present Illness (HPI)
This portion gathers detailed information about the onset, nature, and
characteristics of Florence's chest pain.
1. Onset:
o Questions:
▪ "When did you first notice the chest pain?"
▪ "Was there a specific event or activity that brought it on?"
▪ "Does it occur suddenly or gradually?"
o Purpose: Identifying when the pain started can help in determining
the potential trigger and guide us to possible acute or chronic causes.
2. Duration:
o Questions:
▪ "How long does each episode of pain last?"
▪ "Has the pain become more frequent or intense over time?"
o Purpose: Chest pain lasting for several minutes to hours might
suggest different causes (e.g., cardiac ischemia vs. musculoskeletal
