Assignment Prompt & Instructions
– 2 years ago
**files (1)**
– ## HAdiscussioin4.docx
**## HAdiscussioin4.docx**
**Chief Complaint**: A 75-year-old female reports experiencing pain in her chest while walking up steps today.
**Subjective:** Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.
**VS:** BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%
**General:** obese female, alert, in no acute distress.
**HEENT**: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.
**Respiratory**: CTA AP&L
**Neck/Throat:** carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy
**Heart:** S1 and S2 normal without murmur, gallop, or rub
1.
**What other subjective data would you obtain?**
2.
**What other objective findings would you look for?**
3.
**What diagnostic exams do you want to order?**
4.
**Name 3 differential diagnoses based on this patient presenting symptoms?**
5.
**Give rationales for your each differential diagnosis.**
500 words, APA style, 2 Academic Resources
**## HAdiscussioin4.docx**
**Chief Complaint**: A 75-year-old female reports experiencing pain in her chest while walking up steps today.
**Subjective:** Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.
**VS:** BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%
**General:** obese female, alert, in no acute distress.
**HEENT**: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.
**Respiratory**: CTA AP&L
**Neck/Throat:** carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy
**Heart:** S1 and S2 normal without murmur, gallop, or rub
1.
**What other subjective data would you obtain?**
2.
**What other objective findings would you look for?**
3.
**What diagnostic exams do you want to order?**
4.
**Name 3 differential diagnoses based on this patient presenting symptoms?**
5.
**Give rationales for your each differential diagnosis.**
500 words, APA style, 2 Academic Resources