The patient is a 69-year-old female with a past medical

The patient is a 69-year-old female with a past medical history of overweight BMI, coronary artery disease (CAD), hypertension (HTN), hyperlipidemia, and aortic stenosis. She presents with intermittent episodes of diffuse chest pain that began 5 days ago. Each episode of chest pain lasts less than 5 minutes and is described as being worsened by mild exertion and relieved within 3 to 5 minutes of rest. The chest pain is accompanied by dyspnea and fatigue upon exertion. She denies any tobacco, alcohol, or drug use, as well as any recent upper respiratory infection (URI) or viral illness, fever, weight loss, nausea, or vomiting. Her vital signs reveal mild tachycardia, but are otherwise stable. On physical examination, a pre-existing grade II systolic murmur is noted, with no other abnormalities observed. Management plan: medication ordered (including over the counter) are appropriate, evidence based, written as a complete prescription and includes appropriate medication education. non pharmacological treatment, additional ancillary testing and referrals ordered appropriate. Social Determinants of Health Promotion and risk factors addressed. Patient education and follow instructions. With scholarly reference and clinical practice guidelines. 3 minimal scholarly references that are not older than 5 years most recent clinical practice guidelines are included if applicable

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