Montana State University - Bozeman
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Acute Coronary Syndrome 
(ACS) 
Case Study 
 
History of Present Problem 
•	JoAnn Smith is a 68-year-old woman who presents to the emergency department (ED) after having three days of progressive weakness. 
 
•		She denies chest pain, but admits to shortness of breath (SOB) that increases with activity. She also has epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. She reports that her epigastric pain has gotten worse and is now radiating int...
NURSING N352 RAPID REASONING CASE STUDY (LATEST AND GRADED A)/NURSING N352 RAPID REASONING CASE STUDY (LATEST AND GRADED A)/NURSING N352 RAPID REASONING CASE STUDY (LATEST AND GRADED A)
Acute Coronary Case study> history of present problem personal social history etc/Acute Coronary Case study> history of present problem personal social history etc/Acute Coronary Case study> history of present problem personal social history etc/Acute Coronary Case study> history of present problem personal social history etc/Acute Coronary Case study> history of present problem personal social history etc/Acute Coronary Case study> history of present problem personal social hi...