NSG 6001 Internal Med 2-Internal Medicine 02: 60-year-old woman with chest pain

Internal Medicine 02: 60-year-old woman with chest pain User: Stacy Martin Email: Date: November 03, 2018 02:02 GMT/UTC Learning Objectives The student should be able to: Differentiate among the patient's symptoms as angina pectoris, atypical angina, or non-cardiac chest pain. Document and present an appropriately complete medical history that differentiates among the common etiologies of chest pain. Obtain a history of a patient with chest pain that: (1) contains information about those clinical characteristics that are typical of angina pectoris, and (2) includes risk factors of coronary heart disease. Propose appropriate laboratory and diagnostic studies based on patient demographics and the most likely etiologies of chest pain. Discuss primary and secondary prevention of ischemic heart disease through the reduction of cardiovascular risk factors (e.g. controlling hypertension and dyslipidemia, aggressive diabetes management, avoiding tobacco, and aspirin prophylaxis). Propose appropriate anti-anginal medications when indicated and communicate potential adverse reactions. Knowledge Broad Differential Diagnosis of Chest Pain Cardiac Cardiovascular Causes of Chest Pain Symptoms Signs Other abnormalities Variant Angina Vasospastic cause of angina, often younger pt with few risk factors. Accompanied by transient ST elevation on EKG