2 2 2 2 2 2 2
-Year-
Old Patient with Intermittent SqueezingChest Pai
2 2 2 2 2
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, Comprehensive Case Study Latest Version of a 49 2 2 2 2 2 2 2
-Year-
Old Patient with Intermittent SqueezingChest Pai 2 2 2 2 2
https://docmerit.com/bundle/show/florence-blackman
iHuman 2 Case 2 Study: 2 Patient 2 with 2 Chest 2 Pain
Patient 2 2 2 2 v2
Profile: The patient is a 49-year-
old 2 male 2 2 2 2 2who presents to the emergency 2 department 2 2 with complaints 2 2 of chest 2 pain. 2 2 He reports 2 2 2 2 that the pain began 2 suddenly 2 while 2 2 2 he was gardening 2 2 2 and has lasted v2 for approximately 2 v 30 minutes. 2 2 2 2
The pain is described 2 v2 as a pressure 2 sensation, 2 rated2 2 2 8/10 in 2 2 2
intensity, and is 2 2 2
located in the center 2
2 v 2 2
of his chest. The patient 2 2 also reports 2 associated 2 symptoms 2 2 of shortness 2 2 of breath, 2 diaphoresis, 2 2 and mild2 nausea.
2
Medical 2 2 2 2 2 2 2 2 v
History: The patient has a significant medical history, including hypertension 2 2 and hyperlipidemia. 2 2 v 2 2 2 2
He has been on medication for both 2 conditions 2 2 but admits 2 2 to poor 2 adherence 2 2 2 due to financial 2 constraints. 2 2 His family 2 history 2 2 is notable 2 2 for cardiovascular 2 disease; 2 2 his father 2 2 2 had a myocardial 2 infarction 2 2 at a
ge 2 2 2 2 2 2 2 2 2 2 2 2 2
60, and his mother had a stroke. The patient is a current smoker, 2 2 2 with a 30-pack- 2 2 v 2 2 2 year smoking history, and he occasionally 2 consumes 2 alcohol.
Physical 2 Examination: 2 Upon v examination, 2 2 the patient 2 appears2 anxious v 2 2and in mild 2 distress. 2 Vital 2 signs 2 reveal 2 2 a blood 2 pressure 2 2 of 150/95 v 2 2
mmHg, a heart 2 2 2 v v 2
rate of 98 beats per minute, 2 2 v and a respiratory 2 2 2 2
rate of 20 breaths 2 2 per minute 2 with2 v 2 an oxygen saturation 2 2 v2 of 95% on room v 2air. Cardiac 2 examination 2 reveals v an
2 irregular 2 rhythm, 2 2 2 but no murmurs 2 2 or gallops 2 2 are appreciated. 2 Lung 2 auscultation 2 2 2 is cl ear 2 bilaterally, 2 2 and there 2 2 2 are no signs 2 2 of peripheral 2 edema.
Diagnostic 2 Tests: 2 2 The initial 2 workup 2 includes 2 2 an electrocardiogram 2 (ECG), 2 which 2 shows 2 ST-segment 2 elevation 2 2 2 in the anterior 2 leads, 2 suggestive 2 2 2 of an acute 2 myocardial 2 infarction v 2 (MI). Cardiac 2 biomarkers, 2 including v troponin 2 2 v I and creatine 2 kinase-MB, 2 2 are obtained, 2 showing 2 elevated 2 levels v consistent 2 2 with myocardial 2 injury.
Management 2 2 and Treatment: 2 2 The patient 2 v is immediately 2 placed 2 2 on oxygen v therapy, 2 2 and intravenous 2 access 2 2 is established 2 2 for medication 2 administration. 2 2 2 He is given 2 aspirin 2 2 and nitroglycerin 2 2 for chest v 2 pain 2 2
relief. The cardiology 2 team 2 2 is consulted, 2 2 2 and the patient 2 v is prepared v2 for potential 2 cardiac 2 catheterization 2 2 to evaluate 2 2 for coronar
y2 artery 2 disease.
Discussion: 2 This v 2case highlights 2 2 the importance 2 2 of recognizing v 2 2 2
the 2 2 2 2 signs and symptoms of acute coronary syndrome, 2 v2 2 2
especially2 2 2 v2 in patients with significant risk factors such as hypertension, 2 hyperlipidemia, 2 2 2 and a strong v 2 family history 2 2 of heart 2 disease. 2 2 Early identification 2 2 2 2and intervention are crucial v2 to minimize 2 my
ocardial 2 damage 2 2 and improve 2 2 patient outcomes. 2 2 The patient’s 2 2 2 2 2 2 2 2
history of non- adherence to medications also emphasizes 2 2 2 2 2 2
the 2 v 2 need for comprehensive patient education regarding the importance 2 2 of managing v 2 chronic conditions 2 2 and lifestyle 2 modifications, 2 including 2 2 smoking cessation v 2 2
and dietary changes.
2
In 2 v 2 2 2conclusion, the case of this 49-year-
2 2 2 2 v
old 2 v 2 2 2
patient with chest pain underlines the critical need for prompt 2 assessment 2 2 and management 2 2 of potential 2 cardiac 2 events 2 2 in emergency 2 settings. 2 2 2 It also serves 2 2 2 as a reminder 2 2 2 2 of the role healthcare 2 professionals v 2 2
play in educating 2 patients 2 about 2 their 2 health 2 risks 2 2 2 and the significance 2 2 of adherence 2 2 to treatment
2 2 2 2 2 2 2 2
plans. iHuman Case Study: Patient with Chest Pain
Patient 2 2 2 2 2 2
Profile: The patient is a 49-year-
old 2 male 2 2 2 2 2who presents to the emergency 2 department 2 2 with complaints 2 2 of chest 2 pain. 2 2 He reports 2 2 2 2 that the pain began 2 suddenly 2 while 2 2 2 he was gardening 2 2 2 and has lasted 2 2 for approximately 2 2 30 minutes. 2 2 2 2 The pain is described 2 v2 as a pressure 2 sensation, 2 2 2 2
rated 8/10 in intensity, 2 2 2 and is located 2 2 2 in the center
2 2 2 of his chest. 2 2 The patient 2 2 also reports 2 associated 2 symptoms 2 2 of shortness 2 2 of breath, 2 diaphoresis, 2 2 and mild 2 nausea.
This2 study2 source2 was2 downloaded2 by2 1000008905867842 from2 CourseHero.com2 on2 10-09-
20242 21:49:502 GMT2 -
https://www.coursehero.com/file/241567760/Comprehensive-Case-Study-Latest-Version-of-a-49-Year-Old-Patient-with-Intermittent-Squeezing-Chest-P/