Exam (elaborations)
I HUMAN CASE STUDY FLORENCE BLACKMAN Latest Versions 2024 GRADED A+.
- Course
- Institution
I HUMAN CASE STUDY FLORENCE BLACKMAN Latest Versions 2024 GRADED A+.
[Show more]
Content preview
I HUMAN CASE STUDY FLORENCE BLACKMANLatest Versions 2024 GRADED A+
Think about the clinical presentation that you would expect for each diagnosis. What signs & symptoms did the patient
present with that were consistent with/expected for that diagnosis? (Include history findings (HPI, ROS, SH, FH, PMH),
physical exam findings, and diagnostic tests). What history/signs/symptoms/diagnostics would you expect for that diagnosis
that was lacking?
DIAGNOSIS: Unstable Angina
Pertinent Positives List the FindingsRationale
Subjective findings
(HPI, ROS, PMFSH) • Constriction in middle of chest
• Chest discomfort started during exercise.
• Pain radiating to left arm
• Shortness of breath
• History of hypertension
• History of hyperlipidemia
• History of smoking
• Diagnosis of coronary artery disease
• Stressful work environment
• Family history of heart disease • These symptoms that the patient experienced are associated with unstable
angina. The risk factors also
align with the diagnosis of unstable angina.
Objective findings
(Physical Exam & Diagnostics) • Lipid profile showed a cholesterol level of 200 and an HDL of 45
• No evidence of cardiomegaly seen on CXR
• No evidence of ischemia seen on 12 lead ECG
• Troponin was not elevated
• TEE showed no evidence of structural or functional abnormality
• CK-MB was not elevated
• BMP was normal
• CBC was normal • The findings of the lipid profile show an elevated cholesterol and unchanged
HDL after six months of lipid lowering therapy. This finding can contribute to the cause of unstable angina. The other
diagnostics showed negative findings which rules out other diagnoses.
Pertinent Negatives
Subjective findings
(HPI, ROS, PMFSH) • Pain was not relieved by rest but started during rest.
• Chest pain lasted for 10 minutes • Unstable angina is known to occur with exertion and cease with
rest, so this is an abnormal finding when considering
this diagnosis.
• The chest discomfort that occurs with unstable angina lasts for 2-5 minutes, so this is an abnormal finding for this
diagnosis.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller KGeorge. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now