iHuman Case Study: Jacob Abraham With Burning
Chest Discomfort – Assessment, Differential Diagnosis,
and Guide”
“Complete iHuman case study of Jacob Abraham presenting with burning chest discomfort,
including assessment findings, differential diagnoses, and guidance.”
• iHuman Jacob Abraham
• burning chest discomfort case study
• iHuman chest pain case
• NURS 6512 iHuman case
lOMoAR cPSD| 16310474
,Patient Information
• Name: Jacob Abraham
• Age: 26 years
• Gender: Male
• Ethnicity: Caucasian
• Source of History: Patient (reliable)
• Date of Encounter: Week 9 iHuman Case
S – Subjective
Chief Complaint (CC):
“Burning discomfort in my chest.”
History of Present Illness (HPI):
Jacob Abraham is a 26-year-old male who presents with a burning sensation in the chest that
began approximately one week ago. The discomfort is described as a burning, pressure-like
sensation located in the mid-sternal and epigastric region. The pain is rated 5/10 and occurs
primarily after meals and when lying down at night. Symptoms are worsened by spicy foods
and caffeine and partially relieved by antacids. The patient denies radiation of pain to the jaw,
left arm, or back. He also denies shortness of breath, palpitations, dizziness, syncope,
diaphoresis, nausea, or vomiting. No recent illness or trauma reported.
Past Medical History (PMH):
• Occasional gastroesophageal reflux symptoms
• No chronic medical conditions
Past Surgical History (PSH):
• None
Medications:
• Occasional over-the-counter antacids
Allergies:
• No known drug allergies (NKDA)
, Family History (FH):
• Father: Hyperlipidemia
• Mother: Healthy
• No family history of early cardiovascular disease
Social History (SH):
• Occupation: Graduate student
• Tobacco: Denies
• Alcohol: Social use (1–2 drinks/week)
• Illicit drugs: Denies
• Diet: Frequent fast food and spicy meals
• Exercise: Minimal
Review of Systems (ROS):
• General: Denies fever, chills, weight loss
• Cardiovascular: Denies chest tightness with exertion, palpitations
• Respiratory: Denies dyspnea, cough, wheezing
• Gastrointestinal: Reports heartburn and epigastric burning; denies nausea, vomiting,
hematemesis
• Neurological: Denies dizziness, syncope, weakness
O – Objective
Vital Signs:
• BP: 122/78 mmHg
• HR: 74 bpm
• RR: 16 breaths/min
• Temp: 98.6°F (37°C)
• SpO₂: 99% on room air
• BMI: 26.1 kg/m²
Physical Examination:
General: Alert, well-nourished male in no acute distress.
Cardiovascular:
• Regular rate and rhythm
• No murmurs, rubs, or gallops
Chest Discomfort – Assessment, Differential Diagnosis,
and Guide”
“Complete iHuman case study of Jacob Abraham presenting with burning chest discomfort,
including assessment findings, differential diagnoses, and guidance.”
• iHuman Jacob Abraham
• burning chest discomfort case study
• iHuman chest pain case
• NURS 6512 iHuman case
lOMoAR cPSD| 16310474
,Patient Information
• Name: Jacob Abraham
• Age: 26 years
• Gender: Male
• Ethnicity: Caucasian
• Source of History: Patient (reliable)
• Date of Encounter: Week 9 iHuman Case
S – Subjective
Chief Complaint (CC):
“Burning discomfort in my chest.”
History of Present Illness (HPI):
Jacob Abraham is a 26-year-old male who presents with a burning sensation in the chest that
began approximately one week ago. The discomfort is described as a burning, pressure-like
sensation located in the mid-sternal and epigastric region. The pain is rated 5/10 and occurs
primarily after meals and when lying down at night. Symptoms are worsened by spicy foods
and caffeine and partially relieved by antacids. The patient denies radiation of pain to the jaw,
left arm, or back. He also denies shortness of breath, palpitations, dizziness, syncope,
diaphoresis, nausea, or vomiting. No recent illness or trauma reported.
Past Medical History (PMH):
• Occasional gastroesophageal reflux symptoms
• No chronic medical conditions
Past Surgical History (PSH):
• None
Medications:
• Occasional over-the-counter antacids
Allergies:
• No known drug allergies (NKDA)
, Family History (FH):
• Father: Hyperlipidemia
• Mother: Healthy
• No family history of early cardiovascular disease
Social History (SH):
• Occupation: Graduate student
• Tobacco: Denies
• Alcohol: Social use (1–2 drinks/week)
• Illicit drugs: Denies
• Diet: Frequent fast food and spicy meals
• Exercise: Minimal
Review of Systems (ROS):
• General: Denies fever, chills, weight loss
• Cardiovascular: Denies chest tightness with exertion, palpitations
• Respiratory: Denies dyspnea, cough, wheezing
• Gastrointestinal: Reports heartburn and epigastric burning; denies nausea, vomiting,
hematemesis
• Neurological: Denies dizziness, syncope, weakness
O – Objective
Vital Signs:
• BP: 122/78 mmHg
• HR: 74 bpm
• RR: 16 breaths/min
• Temp: 98.6°F (37°C)
• SpO₂: 99% on room air
• BMI: 26.1 kg/m²
Physical Examination:
General: Alert, well-nourished male in no acute distress.
Cardiovascular:
• Regular rate and rhythm
• No murmurs, rubs, or gallops
