,
, Patient Information
Name: Robert Smith (per iHuman case documentation)
Age: 49 years
Gender: Male
Height: 5’10” (177.8 cm, ~50th percentile for age)
Weight: 185 lb (83.9 kg, BMI 26.5 kg/m², overweight, range 25–
29.9 kg/m²)
Reason for Encounter: Intermittent squeezing chest pain for 2
weeks, presenting to an outpatient clinic with X-ray, ECG, and
laboratory capabilities in 2024 for urgent evaluation.
History of Present Illness
Robert Smith, a 49-year-old male accountant, presents to the
outpatient clinic with a chief complaint of intermittent, squeezing chest
pain for the past 2 weeks. He describes the pain as a heavy, pressure-
like sensation in the center of his chest, rated 4–6/10 in intensity,
lasting 5–10 minutes per episode. The pain occurs 2–3 times daily,
typically triggered by physical exertion (e.g., climbing two flights of
stairs, brisk walking to his car) or emotional stress (e.g., work-related
deadlines). It occasionally radiates to his left arm and jaw, accompanied
by mild shortness of breath and nausea, but no diaphoresis,
palpitations, lightheadedness, or syncope. Rest consistently relieves the
pain within 3–5 minutes. He has not used medications like nitroglycerin
or antacids to alleviate symptoms. The frequency of episodes has
increased over the past week, with 3–4 episodes on some days,
prompting concern about a potential heart attack, especially given his
father’s history of myocardial infarction (MI) at age 60. The patient
, Patient Information
Name: Robert Smith (per iHuman case documentation)
Age: 49 years
Gender: Male
Height: 5’10” (177.8 cm, ~50th percentile for age)
Weight: 185 lb (83.9 kg, BMI 26.5 kg/m², overweight, range 25–
29.9 kg/m²)
Reason for Encounter: Intermittent squeezing chest pain for 2
weeks, presenting to an outpatient clinic with X-ray, ECG, and
laboratory capabilities in 2024 for urgent evaluation.
History of Present Illness
Robert Smith, a 49-year-old male accountant, presents to the
outpatient clinic with a chief complaint of intermittent, squeezing chest
pain for the past 2 weeks. He describes the pain as a heavy, pressure-
like sensation in the center of his chest, rated 4–6/10 in intensity,
lasting 5–10 minutes per episode. The pain occurs 2–3 times daily,
typically triggered by physical exertion (e.g., climbing two flights of
stairs, brisk walking to his car) or emotional stress (e.g., work-related
deadlines). It occasionally radiates to his left arm and jaw, accompanied
by mild shortness of breath and nausea, but no diaphoresis,
palpitations, lightheadedness, or syncope. Rest consistently relieves the
pain within 3–5 minutes. He has not used medications like nitroglycerin
or antacids to alleviate symptoms. The frequency of episodes has
increased over the past week, with 3–4 episodes on some days,
prompting concern about a potential heart attack, especially given his
father’s history of myocardial infarction (MI) at age 60. The patient
