Questions and Answers
What is the established chief complaint?
Reports chest pain
What details were reported about the onset and duration of chest pain?
Reports chest pain started about five minutes ago, has been constant since it began, reports sitting in bed when pain began
How does the patient rate their current chest pain on a scale?
6/10
What characteristics did the patient describe about the pain?
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Where does the patient report the pain to be located?
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What triggers the patient's chest pain?
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What did the patient report about their stress and anxiety levels?
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What relevant health history did the patient provide?
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What medication for high blood pressure is the patient taking?
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What medication for high cholesterol is the patient taking?
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What cardiac tests has the patient undergone?
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What were the patient's beliefs about the results of their cardiac tests?
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What substance use history did the patient report?
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How often does the patient consume alcohol?
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What did the patient say about their exercise routine?
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What was the patient's most recent meal?
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What did the patient report about their typical diet?
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What did the patient report about their cardiovascular system?
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What did the patient say about their constitutional health?
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What did the patient report regarding their respiratory system?
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What did the patient say regarding throat problems?
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What did the patient report regarding their gastrointestinal system?
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What relevant family history did the patient provide?
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Study Notes
Chief Complaint and Pain Characteristics
- Patient reports chest pain as the primary issue.
- Onset was approximately five minutes prior; pain has been constant since beginning. Injury occurred while sitting in bed.
- Pain intensity is rated 6 out of 10.
- Describes pain as tight and uncomfortable without signs of crushing, gnawing, tearing, or burning sensations.
Pain Location and Triggers
- Main pain located in the middle of the chest, with slight discomfort in the left shoulder.
- Denies pain in arms, back, jaw, or neck.
- Pain aggravated by movement.
Stress and Mental Health
- Maintains a generally low-stress lifestyle.
- No history of anxiety or panic attacks.
Relevant Health History
- Patient has a history of high blood pressure and high cholesterol.
- Denies previous pulmonary embolism, angina, rheumatic fever, or heart murmurs.
Medications and Treatments
- High blood pressure managed with Lisinopril, 20mg once daily.
- High cholesterol treated with Atorvastatin (Lipitor), 20mg once daily.
Cardiac Tests History
- Recent EKG and annual stress test performed.
- Believes both tests returned normal results.
Substance Use
- Denies use of illicit drugs and tobacco.
- Reports moderate alcohol consumption, drinking 2-4 drinks on weekends, with 2-3 drinks on single occasions.
Exercise and Diet
- No regular exercise routine noted.
- Most recent meal consisted of buffalo wings; eaten the previous night at 8 p.m.
- Typical diet includes granola bars for breakfast, turkey sub for lunch, and grilled meat with vegetables for dinner; denies moderating salt intake.
Cardiovascular and General Health Review
- Denies symptoms of palpitations, swelling, circulation issues, blood clots, easy bleeding, or bruising.
- Constitutional review shows no fever, chills, fatigue, sleep issues, weight changes, night sweats, or dizziness.
Respiratory and Gastrointestinal Health
- Respiratory review shows no cough, shortness of breath while lying down, or blue skin.
- Gastrointestinal review indicates no diarrhea, constipation, gas, bloating, or heartburn; experienced nausea earlier but no vomiting.
Family History
- Noteworthy family history includes heart attack; no reported history of stroke or pulmonary embolism.
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Description
This quiz focuses on understanding a patient's chest pain characteristics, triggers, and relevant health history. It evaluates the relationship between physical symptoms and psychological factors, as well as medication history. Perfect for healthcare professionals looking to enhance their assessment skills.