PATIENT REASON FOR ENCOUNTER: INTERMITTENT
SQUEEZING CHEST PAIN (A NEW UPDATED VERSION
2025/2026) |ALREADY GRADED A+
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,Patient Information
Name: [Insert Patient Name]
Age: 49 years’ old
Gender: Male
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,Height: 5'6" (168 cm)
Weight: 158.0 lbs. (71.8 kg)
Reason for Encounter: Intermittent squeezing chest pain
Case Details:
• Location: This case is played in Learning Mode within the I-
Human platform.
• Grading Rubric:
o History: 40% o [Further criteria could be added based on additional
rubrics from the course.]
• 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 hex of heart disease
• Stressful work
History Questions:
- How can I help you today?
- Any other symptoms we should discuss?
- Do you have any allergies?
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, -
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 110) is the pain in your chest?
- 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?
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