Mitchell_human pathophysiology_ W5A2 - Comprehensive...

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Comprehensive Medical Report: Myocardial InfarctionCarolyn MitchellMedical Report: Myocardial InfarctionBIO2015S01Human PathophysiologySouth UniversityApril 3, 2016
Comprehensive Medical Report: Myocardial InfarctionMr. Michaels is a fifty-six year old construction worker who was diagnosed with hypertension ten years ago and is currently taking labetalol but, he has not refilled his prescription in a week. He is also a smoker. Today his chief complaints are severe pain in his chest, followed by radiating pain in left arm, and nausea. Mr. Michaels suddenly started to feel this pain and called 911. Mr. Michaels rates his pain as 8/10 at its worst. He thinks his chest pain is from his cough. Mr. Michaels has not taking any medications for the pain and describes the pain as a pressure or tightness in his chest. He also is experiencing an increased heart rate, coughing, anxiety, dyspnea, fatigue, and dizziness (VanMeter, 2015, p.241).Past medical history includes hypertension diagnosed ten years ago which was being controlled by labetalol. Mr. Michaels suffered from anxiety but chose smoking over seeking medical attention for his anxiety issues. Due to his smoking he suffered from a chronic cough. He has not experienced any hospitalization or surgical procedures. Furthermore, there are no known drug allergies, insect allergies, or food allergies. Medications he is currently taking include labetalol 100mg PO qd since, being diagnosed with hypertension ten years ago. Family history consist of his mother and father. His mother died at age 46 from myocardial infraction. The father at age 78 is still alive diagnosed with hypertension, coronary artery disease, and glaucoma.Mr. Michaels is a construction worker. He is divorced with seven children two grandchildren that he sees daily. Mr. Michaels is also the sole provider for two of his children and grandchildren. Between his job, children, and grandchildren he experiences a lot of anxiety. He smokes one pack of cigarettes a day and denies the use of any recreational drugs or alcohol.

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