,Patient Information
Name: Mei Yang
Age: 69 years old
Gender: Male
Height: 5’6” (168 cm, assumed for BMI calculation, average for
Asian-American males)
Weight: 165 lbs (75 kg, BMI ~26.6 kg/m², overweight)
Reason for Encounter: Chest pain
Setting: Urgent care clinic, potential transfer to emergency
department
Class: 6512, Week #4, Chamberlain University
History of Present Illness (HPI)
Mei Yang, a 69-year-old Asian-American male, presents to the urgent
care clinic with a chief complaint of chest pain for the past 2 hours. He
describes the pain as a heavy, squeezing sensation in the center of his
chest, radiating to his left arm, rated 7/10 in severity. The pain began at
rest while he was watching TV and is associated with nausea,
diaphoresis, and mild shortness of breath. He denies prior similar
, episodes, though he reports occasional exertional chest discomfort
over the past 3 months, relieved by rest, which he attributed to
“indigestion.” Today’s pain is more severe, persistent, and unrelieved
by rest or antacids (tried one dose without effect). Mei denies syncope,
palpitations, fever, cough, or leg swelling. He is concerned about a
possible heart attack, given his father’s history of myocardial infarction
(MI) at age 65.Mei has a history of hypertension (diagnosed 15 years
ago, controlled), type 2 diabetes mellitus (T2DM) (diagnosed 10 years
ago, HbA1c 7.5%), and hyperlipidemia (on statin therapy). He denies
prior MI, heart failure, or known coronary artery disease (CAD). He is a
former smoker (20 pack-years, quit 10 years ago) and drinks 1–2
beers/week. His diet is traditional Asian (e.g., rice, vegetables, fish,
occasional fried foods), and he exercises minimally (20 min walking, 2–3
times/week) due to knee pain from osteoarthritis. Mei is a retired
accountant, lives with his wife, and reports moderate stress managing
family finances.
Onset: Acute, 2 hours ago at rest; prior exertional discomfort for 3
months.
Location: Substernal, radiating to left arm.
Duration: Continuous for 2 hours (acute episode); prior episodes
5–10 minutes.
Name: Mei Yang
Age: 69 years old
Gender: Male
Height: 5’6” (168 cm, assumed for BMI calculation, average for
Asian-American males)
Weight: 165 lbs (75 kg, BMI ~26.6 kg/m², overweight)
Reason for Encounter: Chest pain
Setting: Urgent care clinic, potential transfer to emergency
department
Class: 6512, Week #4, Chamberlain University
History of Present Illness (HPI)
Mei Yang, a 69-year-old Asian-American male, presents to the urgent
care clinic with a chief complaint of chest pain for the past 2 hours. He
describes the pain as a heavy, squeezing sensation in the center of his
chest, radiating to his left arm, rated 7/10 in severity. The pain began at
rest while he was watching TV and is associated with nausea,
diaphoresis, and mild shortness of breath. He denies prior similar
, episodes, though he reports occasional exertional chest discomfort
over the past 3 months, relieved by rest, which he attributed to
“indigestion.” Today’s pain is more severe, persistent, and unrelieved
by rest or antacids (tried one dose without effect). Mei denies syncope,
palpitations, fever, cough, or leg swelling. He is concerned about a
possible heart attack, given his father’s history of myocardial infarction
(MI) at age 65.Mei has a history of hypertension (diagnosed 15 years
ago, controlled), type 2 diabetes mellitus (T2DM) (diagnosed 10 years
ago, HbA1c 7.5%), and hyperlipidemia (on statin therapy). He denies
prior MI, heart failure, or known coronary artery disease (CAD). He is a
former smoker (20 pack-years, quit 10 years ago) and drinks 1–2
beers/week. His diet is traditional Asian (e.g., rice, vegetables, fish,
occasional fried foods), and he exercises minimally (20 min walking, 2–3
times/week) due to knee pain from osteoarthritis. Mei is a retired
accountant, lives with his wife, and reports moderate stress managing
family finances.
Onset: Acute, 2 hours ago at rest; prior exertional discomfort for 3
months.
Location: Substernal, radiating to left arm.
Duration: Continuous for 2 hours (acute episode); prior episodes
5–10 minutes.
