solved

P.A. is a 45-year-old female who present to the clinic today with a burning chest complaint. She reports that for the past two weeks, she has been dealing with a burning feeling that starts in the center of her chest and extends up to her neck. She also mentions that starting around three months ago, her belching and hiccups have become more frequent. She eliminates a heart attack because her mother had one two years prior. She rates the discomfort as a 6, quite severe, and only lasting a few hours after eating. She feels queasy, but her throat prevents her from vomiting. Every time she lies down in bed, the pain only becomes worse and she belches more for close to three hours. She has tried Tums and Pepto Bismol without success, but the burning sensation seems to go away when she moves around and rests her head on four pillows.
1) Plan
a) Treatment, Management & Rationale
b) Pharmacological
c) Non-Pharmacological
2) Diagnostic test/labs
3) Health Promotion
4) Education
5) Reflection notes

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