NURSING PYC 660Health History and Physical Exam-Nur385 (revised)

4. History of present illness: Patient states “I have been outside walking a few times this month and I have noticed that my chest gets tight and it’s hard to breathe when I do so. I have tried to stop smoking because I know it’s bad for me, but I get so anxious that I can’t stop. I get worried because I had a heart attack a few years ago.” PM reports that she takes a baby aspirin every day and takes her Lisinopril regularly. She does not take any other medications. 5. Past Health History: Patient has a history of a heart attack in 2017, she has two cardiac stents. She has a history of hypertension and takes Lisinopril for it. She also has a history of obesity but after her heart attack she reports that she lost 50lbs. She reports that she was diagnosed with diabetes 15 years ago but she does not take the medication she is supposed to anymore because she is controlling it “With her diet.” At her last doctors appointment though they found her BG to be high. She currently smokes half a pack of cigarettes a day. She had one C-section and a hysterectomy.