Acute Coronary Syndrome Myocardial Infarction (ACS, MI)
Macomb Community College
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Acute Coronary Syndrome (ACS) Myocardial Infarction (MI)
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---13March 20212020/2021A+
- UNFOLDING Reasoning Case Study-STUDENT 
Acute Coronary Syndrome/Acute MI 
History of Present Problem: 
JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of progressive 
weakness. She denies chest pain, but admits to shortness of breath (SOB) that increases with activity. She also has 
epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. She reports that her 
epigastric pain has gotten worse and i...
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