Chest Pain Assessment

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?

Describes pain as tight and uncomfortable, denies crushing, gnawing or tearing, and burning pain Signup and view all the answers

Where does the patient report the pain to be located?

Middle of the chest, slight pain in left shoulder Signup and view all the answers

What triggers the patient's chest pain?

Aggravated by movement Signup and view all the answers

What did the patient report about their stress and anxiety levels?

Generally low stress lifestyle, denies history of anxiety and panic attacks Signup and view all the answers

What relevant health history did the patient provide?

Reports high blood pressure and high cholesterol, denies history of pulmonary embolism, angina, rheumatic fever, and heart murmur Signup and view all the answers

What medication for high blood pressure is the patient taking?

Lisinopril, 20mg once daily Signup and view all the answers

What medication for high cholesterol is the patient taking?

Atorvastatin (Lipitor), 20mg once daily Signup and view all the answers

What cardiac tests has the patient undergone?

Recent EKG test, annual stress test Signup and view all the answers

What were the patient's beliefs about the results of their cardiac tests?

Believes EKG was normal, believes stress test was normal Signup and view all the answers

What substance use history did the patient report?

Denies illicit drug use, denies tobacco use, reports moderate alcohol consumption Signup and view all the answers

How often does the patient consume alcohol?

Drinks only on weekends, 2-4 alcoholic drinks per week, 2-3 drinks in a single sitting Signup and view all the answers

What did the patient say about their exercise routine?

Denies having a regular exercise routine Signup and view all the answers

What was the patient's most recent meal?

Previous night at 8 p.m, consisted of buffalo wings Signup and view all the answers

What did the patient report about their typical diet?

Typical breakfast is granola bar and instant breakfast shake, lunch is turkey sub, dinner is grilled meat and vegetables, denies moderating salt intake Signup and view all the answers

What did the patient report about their cardiovascular system?

Denies palpitations, swelling, circulation problems, blood clots, easy bleeding, and easy bruising Signup and view all the answers

What did the patient say about their constitutional health?

Denies fever, chills, fatigue, sleep issues, recent weight changes, night sweats, dizziness or lightheadedness Signup and view all the answers

What did the patient report regarding their respiratory system?

Denies cough, shortness of breath while lying down, and blue skin Signup and view all the answers

What did the patient say regarding throat problems?

Denies sore throat and difficulty swallowing Signup and view all the answers

What did the patient report regarding their gastrointestinal system?

Denies diarrhea, constipation, flatus, bloating, heartburn or GERD, reports earlier nausea, denies vomiting Signup and view all the answers

What relevant family history did the patient provide?

Reports family history of heart attack, denies family history of stroke, denies family history of pulmonary embolism Signup and view all the answers

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.