Shadow Health- Brian Foster- Focused Exam: Chest Pain Case Study 2024

Established chief complaint - Reports chest pain Asked about onset and duration of chest pain - Reports chest pain started about five minutes ago Reports chest pain has been constant since it began Reports sitting in bed when pain began Asked to rate chest pain on a scale - Reports current pain is 6/10 Asked about on characteristics of the pain - Describes pain as tight and uncomfortable Denies crushing pain Denies gnawing or tearing pain Denies burning pain Asked about location of the pain - Reports pain location is in middle of the chest Reports slight pain in left shoulder Denies arm pain Denies back pain Denies jaw pain Denies neck pain Asked about pain triggers - Reports pain is aggravated by movement Asked about stress and anxiety - Reports generally low stress lifestyle Denies history of anxiety Denies history of panic attacks Asked relevant health history - Reports high blood pressure Reports high cholesterol Denies history of pulmonary embolism Denies history of angina Denies history of rheumatic fever Denies history of heart murmur Followed up on high blood pressure treatment - Reports taking high blood pressure medication Reports high blood pressure medication is Lisinopril High blood pressure medication dose is 20mg High blood pressure medication is taken once daily