For this Discussion, you will take on
For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. Case 1 Case 2 Case 3 Chief Complaint (CC) A 75-year-old female reports experiencing pain in her chest while walking up steps today. Subjective Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath. Objective Data VS BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99% General obese female, alert, in no acute distress. HEENT Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries. Respiratory CTA AP&L Neck/Throat carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy Heart S1 and S2 normal without murmur, gallop, or rub Once you received your case number, answer the following questions: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic exams do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. SCIENCE HEALTH SCIENCE NURSING NURSING MS NUR504
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