Created By: Test bank
FLORENCE BLACKMAN IHUMAN CASE STUDY 66 YEAR
OLD FEMALE – CHEST PAIN 2 DIFFERENT VERSIONS
OFTHE ANSWER EXPERT RIVIEWED 2024 A+
VERSION 1
Florence Blackman (66 y/o female) – Chest Pain
• CC: Intermittent squeezing chest pain
• MSAP: Exertional “squeezing” mid-chest pain radiating to left arm, relieved by rest,
worse with cold
• Associated dyspnea on exertion
• History: HLD, HTN, previous smoker, family hx of heart disease
• Stressful work
History Questions:
- How can I help you today?
- Any other symptoms we should discuss?
- Do you have any allergies?
- Are you taking any OTC or herbal medications?
- Any new or recent changes in medications?
- What does the pain / discomfort in your chest feel like? (squeezing, pressure, crushing,
burning, stabbing, aching, tingling, suffocating)
- How severe (scale 1-10) is the pain in your chest?
,Created By: Test bank
- Does anything make the pain in your chest better or worse?
- What are the events surrounding the start of your chest pain?
- Is there a pattern to your chest pain?
- Have you had any trauma to your chest?
- Does the pain in your chest radiate someplace else? Where?
- Do you have unusual heartbeats (palpitations)?
- Does the pain get worse with breathing?
- Does your pain awaken you from your sleep?
- Is your pain affected by what, when, or how much you eat?
- Do you presently have heartburn, a food or acid taste in your mouth?
- Do you drink alcohol? If so, what do you drink and how many drinks per day?
- Do you have any of the following problems: fatigue, difficulty sleeping, unintentional
weight loss or gain, fevers, night sweats?
- Do you experience: SOB, wheezing, difficulty catching breath, chronic cough, sputum
production?
- Does anything make your shortness of breath better or worse?
- How long does your SOB last?
- Do you have any of the following: heat or cold intolerance, increased thirst, increased
sweating, frequent urination, change in appetite?
- Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness,
numbness, tingling, tremor?
, Created By: Test bank
- Do you have problems with: N/V, constipation, diarrhea, coffee grounds in your vomit,
dark tarry stool, bright red blood in your BM, early satiety, bloating?
- How is your overall health?
- Tell me about your work.
- Tell me about daily exercise or sports that you play.
Physical Exam:
- Vitals: pulse, BP, respirations
- Examine skin
- Neck: measure JVP (jugular venous pressure) - Neck: auscultate carotid arteries - Chest
wall & lungs:
o Visual inspection of anterior & posterior chest o Palpate anterior & posterior chest o
Auscultate lungs - Heart:
o Palpate for PMI (Point of Maximal Impact) o Auscultate heart -
Abdomen:
o Auscultate abdominal/femoral arteries o Palpate abdomen
- Extremities: Visual inspection of extremities
Assessment note:
- F.B. is a 66 y/o Caucasian female presenting with 2-week h/o new onset, intermittent,
stable chest pain which radiates to the L arm, occurs with SOB, is worse with cold temperatures
and exertion, and improved by rest. On physical exam she is pain free with stable vital signs.
FLORENCE BLACKMAN IHUMAN CASE STUDY 66 YEAR
OLD FEMALE – CHEST PAIN 2 DIFFERENT VERSIONS
OFTHE ANSWER EXPERT RIVIEWED 2024 A+
VERSION 1
Florence Blackman (66 y/o female) – Chest Pain
• CC: Intermittent squeezing chest pain
• MSAP: Exertional “squeezing” mid-chest pain radiating to left arm, relieved by rest,
worse with cold
• Associated dyspnea on exertion
• History: HLD, HTN, previous smoker, family hx of heart disease
• Stressful work
History Questions:
- How can I help you today?
- Any other symptoms we should discuss?
- Do you have any allergies?
- Are you taking any OTC or herbal medications?
- Any new or recent changes in medications?
- What does the pain / discomfort in your chest feel like? (squeezing, pressure, crushing,
burning, stabbing, aching, tingling, suffocating)
- How severe (scale 1-10) is the pain in your chest?
,Created By: Test bank
- Does anything make the pain in your chest better or worse?
- What are the events surrounding the start of your chest pain?
- Is there a pattern to your chest pain?
- Have you had any trauma to your chest?
- Does the pain in your chest radiate someplace else? Where?
- Do you have unusual heartbeats (palpitations)?
- Does the pain get worse with breathing?
- Does your pain awaken you from your sleep?
- Is your pain affected by what, when, or how much you eat?
- Do you presently have heartburn, a food or acid taste in your mouth?
- Do you drink alcohol? If so, what do you drink and how many drinks per day?
- Do you have any of the following problems: fatigue, difficulty sleeping, unintentional
weight loss or gain, fevers, night sweats?
- Do you experience: SOB, wheezing, difficulty catching breath, chronic cough, sputum
production?
- Does anything make your shortness of breath better or worse?
- How long does your SOB last?
- Do you have any of the following: heat or cold intolerance, increased thirst, increased
sweating, frequent urination, change in appetite?
- Do you have any of the following: dizziness, fainting, spinning room, seizures, weakness,
numbness, tingling, tremor?
, Created By: Test bank
- Do you have problems with: N/V, constipation, diarrhea, coffee grounds in your vomit,
dark tarry stool, bright red blood in your BM, early satiety, bloating?
- How is your overall health?
- Tell me about your work.
- Tell me about daily exercise or sports that you play.
Physical Exam:
- Vitals: pulse, BP, respirations
- Examine skin
- Neck: measure JVP (jugular venous pressure) - Neck: auscultate carotid arteries - Chest
wall & lungs:
o Visual inspection of anterior & posterior chest o Palpate anterior & posterior chest o
Auscultate lungs - Heart:
o Palpate for PMI (Point of Maximal Impact) o Auscultate heart -
Abdomen:
o Auscultate abdominal/femoral arteries o Palpate abdomen
- Extremities: Visual inspection of extremities
Assessment note:
- F.B. is a 66 y/o Caucasian female presenting with 2-week h/o new onset, intermittent,
stable chest pain which radiates to the L arm, occurs with SOB, is worse with cold temperatures
and exertion, and improved by rest. On physical exam she is pain free with stable vital signs.
