¶ … Sean at this visit?
Ten questions to develop the diagnosis would be:
How often do you drink or smoke (how often do you play poker?) How many drinks? How many cigars? More/less frequently than usual? Same?
Have you had any recent illnesses?
What does your diet consist of?
What is your cholesterol level?
Have you had any fever?
Are you experiencing any stress?
How long had you been working out prior to occasion? How often/frequently? How much weight had you lost?
How much rest are you getting at night?
What is your diet?
Are you sweating more than usual? Have you had pain in any other parts of your body? Have you had a rapid or irregular pulse? Any swelling in lower extremities?
What is your differential diagnosis list for this visit thus far with rationale?
Likely diagnosis: Acute coronary syndrome. Differential diagnosis for this patient is based in the family of coronary heart disease, with the differential diagnoses possible being hypertension, stroke, stable angina, heart attack, esophageal spasm, esophageal rupture, atherosclerosis, pericarditis, pulmonary embolism, aortic stenosis, aortic dissection (Ibrahim, 2012). The patient has a history of hypertension and was previously...
Heart attack or myocardial infarction occurs when there is an interruption of regular flow of blood to the heart. The blockage, which leads to the interruption of blood flow, has to be long enough that part of heart muscle dies or becomes damaged. This blockage makes the regular and required oxygen supply in the heart. This lack of oxygen supply leads to the death of numerous cells and the chance
heart attack occurs when the blood supply to part of the heart muscle is severely reduced or stopped. This happens when one or more of the coronary arteries supplying blood to the heart muscle is blocked. This is usually caused by the buildup of plaque that bursts, tears or ruptures, creating a snag where a blood clot forms and blocks the artery, leading to a heart attack (see Figure
" If the liver encounters more food materials than the body can use at the time, it converts the extra food into fat, which can then be stored in the liver, in the fat cells, and circulate in the blood. The extra circulating cholesterol, especially the LDL's, are a sign that either (1) the person is eating too much, (2) the person is not exercising enough to "burn" the food
Heart Disease (CAD: Coronary Artery Disease) Online web site HeartPoint defines Coronary Artery Disease as Coronary artery disease generally refers to the buildup of cholesterol in the inside layers of the arteries. As shown here, this will slowly narrow the flow of blood through the vessel, and the muscle it supplies will not get enough blood. The plaque weakens the wall. As shown in the lower artery, a crack may develop
Mr. Medicare's Myocardia Mr. Medicare Patient and his wife Mrs. Medicare were sitting on the couch watching a football game one Sunday, when Mr. Medicare began to feel ill. It began with a feeling like indigestion, which he attributed to the spicy chicken wings that they were eating while watching the game. However, the initial indigestion feeling worsened, even after he chewed an antacid. He began to feel short of breath
Patient Overview -- Mr. C. is a 52-year-old business executive with indigestion that an entire roll of TUMS did not help. Initially he blamed this on his lunchtime pizza, but his staff convinced him to go to the ER where he presented epigastric pain. An EKG was done indicating ST segment elevation. Additionally, the pain remained unrelieved after three sublingual nitroglycerine tablets. Three doses of morphine sulfate given intravenously
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