Case Study 8 Cardio 2
Study online at https://quizlet.com/_ej8z5o
1.Mrs. Jameson, a 60-year-old woman, comes into the clinic complaining of
chest pain, which has occurred three to four times since her last visit 4
months ago. She describes the pain as a squeezing, substernal pressure
that is worse after climbing stairs in her home. The pressure resolved after 2
minutes of rest. During the last two episodes, she felt like she had
indigestion and became a bit nauseous. The last episode of chest pressure
was 2 days ago...
1. What is the likely diagnosis and why did you make this decision? What
are the most common causes of this disease, and which one is the most
likely in Mrs. Jameson?: Likely Diagnosis: Stable angina due to exertion-
related substernal pressure, risk factors of smoking, hypertension, and
diabetes.
2.2. Her lipid panel reveals of High LDL and a low HDL. What does this mean
in terms of cardiovascular risk? Describe the concept of density in terms of
the lipid panel:: Lipid Panel Implications: High LDL and low HDL indicate
increased cardiovascular risk. Density indicates smaller LDLs are more
harmful.
3.3-How does coronary artery disease lead to the symptoms Mrs. Jameson
is experiencing?: Coronary artery disease causes Mrs. Jameson's
symptoms by reducing blood flow to the heart due to plaque buildup in
the arteries. This leads to chest pain and discomfort, especially during
activities like climbing stairs, which improve with rest.
4.4-How is coronary artery disease different in women in comparison to
men?: Coronary Artery Disease Symptoms: In women, CAD may
present with GI symptoms, while men typically experience angina.
5.5- Mrs. Jameson is also diagnosed with peripheral arterial disease (PAD).
What is the relationship between CAD and PAD.: CAD and Peripheral
Arterial Disease (PAD) Relationship: Both caused by atherosclerosis and
share risk factors like smoking and hypertension.
6.6-What clinical manifestations will she display if she has PAD? Which
diag- nostic tests would be ordered to evaluate arterial disorder (least
invasive to most invasive?: PAD Manifestations and Diagnostics: Includes
intermittent claudi- cation, changes in extremity appearance, and pain.
Diagnostic tests include ABI and duplex Doppler ultrasound, progressing
to angiography if needed.
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1
Study online at https://quizlet.com/_ej8z5o
1.Mrs. Jameson, a 60-year-old woman, comes into the clinic complaining of
chest pain, which has occurred three to four times since her last visit 4
months ago. She describes the pain as a squeezing, substernal pressure
that is worse after climbing stairs in her home. The pressure resolved after 2
minutes of rest. During the last two episodes, she felt like she had
indigestion and became a bit nauseous. The last episode of chest pressure
was 2 days ago...
1. What is the likely diagnosis and why did you make this decision? What
are the most common causes of this disease, and which one is the most
likely in Mrs. Jameson?: Likely Diagnosis: Stable angina due to exertion-
related substernal pressure, risk factors of smoking, hypertension, and
diabetes.
2.2. Her lipid panel reveals of High LDL and a low HDL. What does this mean
in terms of cardiovascular risk? Describe the concept of density in terms of
the lipid panel:: Lipid Panel Implications: High LDL and low HDL indicate
increased cardiovascular risk. Density indicates smaller LDLs are more
harmful.
3.3-How does coronary artery disease lead to the symptoms Mrs. Jameson
is experiencing?: Coronary artery disease causes Mrs. Jameson's
symptoms by reducing blood flow to the heart due to plaque buildup in
the arteries. This leads to chest pain and discomfort, especially during
activities like climbing stairs, which improve with rest.
4.4-How is coronary artery disease different in women in comparison to
men?: Coronary Artery Disease Symptoms: In women, CAD may
present with GI symptoms, while men typically experience angina.
5.5- Mrs. Jameson is also diagnosed with peripheral arterial disease (PAD).
What is the relationship between CAD and PAD.: CAD and Peripheral
Arterial Disease (PAD) Relationship: Both caused by atherosclerosis and
share risk factors like smoking and hypertension.
6.6-What clinical manifestations will she display if she has PAD? Which
diag- nostic tests would be ordered to evaluate arterial disorder (least
invasive to most invasive?: PAD Manifestations and Diagnostics: Includes
intermittent claudi- cation, changes in extremity appearance, and pain.
Diagnostic tests include ABI and duplex Doppler ultrasound, progressing
to angiography if needed.
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