Create a differential/algorithm for chest pain. Chest pain
should begin the differential/algorithm.
Chest pain may include non-cardiac causes such as GI disturbances
or Respiratory disturbances. Be sure to list at least one cause of
chest pain from another body system. You should have at least 3-5
main categories for cardiac-related chest pain in the second row of
your differential/algorithm. In your differential/algorithm also be
sure to include lab values when and where applicable.
Chest pain sometimes confused with abdominal pain,if it is
epigastric and other organ symptoms it should be investigated..we
can focus on history and physical examination for find out the
chest pain..it can be cardiac cause,pulmonary causes,
gastrointestinal, musculoskeletal, psychiatric and others..
Respiratory causes like pulmonary embolism it block the pulmonary
artery within the lungs..The symptoms include shortness of
breath,cough,chest pain,many patients with pheumonia have chest
pain..pleuritis cause stabbing pain when breathing..lung cancer
patient often complaint of chest pain,it get worse with deep
breathing,coughing..pulmonary hypertension many patient may
experience chest pain..
chest pain appear in many form from sharp stab to a dull
ache..sometime it will be like crushing or burning..Heart related
chest pain associated with heart disease..It have different
symptoms than other chest pain like pressure,fullness,burning or
tightness in chest, crushing pain radiating to back, neck, jaw,
shoulder,pain lasting for more than few minutes,shortness of
breathing,cold sweats,dizziness,nausea or vomiting...Lab values and
ECG,chest x ray,CT scan can differ the symptoms..In blood test
there will be increased level of certain protein and enzymes which
is there in the heart..lipid profile, hs -CRP ,LP(a) value increase
with risk of heart disease..Troponin measures can find the heart
muscle damage..so chest pain can be vary from many causes..proper
examination and test can find out the real chest pain related with
cardiac problem..
Create a differential/algorithm for chest pain. Chest pain should begin the differential/algorithm. Chest pain may include...
Create a differential/algorithm for epigastric pain. Begin the differential/algorithm with epigastric pain. Identify GI conditions that present with epigastric pain. Be aware that there may be non-GI causes of epigastric pain. Include any lab values that may be relevant to the differential/algorithm.
Create a case study that describes a patient with this condition Parkison disease, using template PowerPoint Patient Demographics Initials: •Age: •Biological Sex: •Gender: •Race/ethnicity: •Allergies: Health History •History of current illness: •Chief Complaint: •Past medical history: •Past surgical history: •Social history: Exam findings •Vital Signs: •Pain: •General appearance: •Major systems finding (e.g. respiratory, GI, neuro): Lab or imaging findings (if applicable Differential diagnosis((Choose 3 differential diagnoses and list them here. Differential diagnoses should be related to the system of the...
You have been admitted to your local hospital for chest pain. An EKG was performed on you and now you are waiting for a lab technician to draw blood to test your cardiac enzyme levels. Moments before the technician arrives your nurse comes in with a puzzled look. You ask what's wrong and they mention that another EKG order has appeared for you. The nurse verifies that you have in fact just had one and steps out to contact the...
Create the conversation (should be at least 10-15 minutes.) with the patient for the process recroding. You must assume the role of the healthcare worker (role play) Scenario III Ms. Burton, age 22, is scheduled for a barium study to diagnose the cause of episodes of abdominal pain, and nausea/vomiting. You are the radiology tech and give her the contrast solution to drink. Ms. Burton: "Yuk. Are you trying to kill me?!" She spits out the solution and throws the...
Chief Complaint: Nausea & Vomiting History of Present Illness A 24-year-old woman presents to your urgent care clinic complaining of nausea and vomiting for the past 4 weeks. She had no prior gastrointestinal problems until the onset of symptoms 4 weeks ago. She generally develops nausea about 1/2 hour after eating and then vomits non-bloody material about an hour later. Solid food causes more symptoms than liquids, and the amount of food needed to cause symptoms has been decreasing. Otherwise,...
A 62-year-old Caucasian female presents for a return visit for monitoring of arthritic pain in her knees. She has informed the medical assistant taking her vital signs that she wants to make sure that the nurse practitioner also checks out her arms and chest because she has noticed blood-like spots under the skin on her body that she has not had before. She notes having bruising in her past not related to injury that she attributes to taking quinine for...
A 62-year-old Caucasian female presents for a return visit for monitoring of arthritic pain in her knees. She has informed the medical assistant taking her vital signs that she wants to make sure that the nurse practitioner also checks out her arms and chest because she has noticed blood-like spots under the skin on her body that she has not had before. She notes having bruising in her past not related to injury that she attributes to taking quinine for...
True or False: A respiratory rate consistently less than 10 or greater than 60 breaths per minute in a child of any age is abnormal and suggests the presence of a potentially serious problem. True False True or False: PALS management of respiratory distress/failure is adjusted based on the severity of the current condition. True False True or False: Shock may occur with a normal, increased, or decreased systemic arterial pressure. True False True or False: Respiratory failure or shock...
John, a healthy twenty-eight-year-old electrical engineer, was driving home from work one evening when he experienced a sudden stabbing pain in his right pectoral and right lateral axillary regions. He began to feel out of breath and both his respiratory rate and heart rate increased dramatically. As luck would have it, John passed a hospital each day on his way home and was able to get himself to the hospital’s emergency room. The emergency room physician listened to John’s breathing...
Mary is a 44-year-old African American female who is reporting to her primary care provider for a follow-up visit for evaluation of her diabetes, hypertension and dyslipidemia. During her last visit 3 months ago, her provider increased the dosage of one anti-hypertensive medication and added a second anti-hypertensive medication to her regimen due to her blood pressures hanging around 160/100. A second agent to assist with the management of her diabetes was also added to her plan of care at...