i-Human Case Analysis Week 7: 49-Year-Old Patient with Exertional
Chest Pain (Stable Angina)
,
, Comprehensive Case Study
Patient: 49-Year-Old with Intermittent Squeezing Chest Pain
Course: NURS 6512 – Advanced Health Assessment
Week: 7 | i-Human Case Analysis
I. Chief Complaint (CC)
“Chest pain described as squeezing and pressure, occurring intermittently with exertion.”
II. History of Present Illness (HPI)
The patient is a 49-year-old adult presenting with recurrent episodes of substernal squeezing
chest pain.
• Onset: Began 3 weeks ago.
• Duration: Each episode lasts 5–10 minutes.
• Character: Pressure-like, squeezing, non-pleuritic.
• Location: Substernal, radiates to left arm/jaw.
• Aggravating Factors: Physical exertion (stairs, heavy lifting).
• Relieving Factors: Rest; resolves within minutes.
• Associated Symptoms: Shortness of breath, mild nausea, sweating.
• Severity: 6–7/10 during episodes.
III. Past Medical History
• Hypertension (poor adherence to medications).
• Hyperlipidemia.
• No history of diabetes or prior heart attack.
IV. Family History
• Father: Myocardial infarction at age 54.
• Mother: Hypertension, Type 2 Diabetes.
V. Social History
Chest Pain (Stable Angina)
,
, Comprehensive Case Study
Patient: 49-Year-Old with Intermittent Squeezing Chest Pain
Course: NURS 6512 – Advanced Health Assessment
Week: 7 | i-Human Case Analysis
I. Chief Complaint (CC)
“Chest pain described as squeezing and pressure, occurring intermittently with exertion.”
II. History of Present Illness (HPI)
The patient is a 49-year-old adult presenting with recurrent episodes of substernal squeezing
chest pain.
• Onset: Began 3 weeks ago.
• Duration: Each episode lasts 5–10 minutes.
• Character: Pressure-like, squeezing, non-pleuritic.
• Location: Substernal, radiates to left arm/jaw.
• Aggravating Factors: Physical exertion (stairs, heavy lifting).
• Relieving Factors: Rest; resolves within minutes.
• Associated Symptoms: Shortness of breath, mild nausea, sweating.
• Severity: 6–7/10 during episodes.
III. Past Medical History
• Hypertension (poor adherence to medications).
• Hyperlipidemia.
• No history of diabetes or prior heart attack.
IV. Family History
• Father: Myocardial infarction at age 54.
• Mother: Hypertension, Type 2 Diabetes.
V. Social History
