04 Aug Name 3 differential diagnoses based on this patient presenting symptoms?
| Case 3 | |||
| Chief Complaint (CC) |
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. | ||
| Objective Data | |||
|---|---|---|---|
| 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 |
Once you received your case number, answer the following questions:
- What other subjective data would you obtain?
- What other objective findings would you look for?
- What diagnostic exams do you want to order?
- Name 3 differential diagnoses based on this patient presenting symptoms?
- Give rationales for your each differential diagnosis.
Submission Instructions:
- Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within the past 5 years
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