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3/25/20, 8:31 PMFocused Exam: Chest Pain | Completed | Shadow HealthPage 1 of 3Focused Exam: Chest Pain Results | CompletedAdvanced Health Assessment - January 2020, nur634Return to Assignment(/assignments/299544/)(/site_notice_dismissals?from_flash=true&site_notice_id=Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. During this timeassignment attempts will be disabled. Thank you for helping us to improve your Shadow Health experience!If you are are experiencing audio issues while using Safari, please visit this article()on ourHelp Desk for further information.Documentation / Electronic Health RecordDocument: Provider NotesStudent DocumentationModel DocumentationSubjectiveMr. Foster is a pleasant 58 years old caucasian man who presentedto the clinic with chief complaints of intermittent chest pain that hasbeen going on for the past month. There is no evidence of acutedistress at this time and he currently denies chest pain. He statesthat his chest pain occured at least three times this month. He states"I feel it mostly in the middle of my chest. over my heart." He statesthat pain severity at its worst is 5/10, non-radiating, and usually goesafter a couple of minutes. He describes the pain as "mostly feelstight and uncomfortable right in the middle of the chest." He furtherstates "the pain seems to start when I'm doing something physicaland subsides a little bit with rest." He denies taking any medicationto relieve his chest pain. He reports history of hypertension andhyperlipidemia and takes Atorvastatin 20mg daily and fish oil forcholesterol and metoprolol 100mg daily for his hypertension. Hereports that he has not been checking his blood pressure at homeand only gets it checked during clinic visits. He states that his lastphysical was about three months ago. Reports ocassional alcoholconsumption. Denies smoking and substance abuse. He deniesshortness of breath, fever or chills and any abdominal dsicomfort. Hedenies history of blood clot and bleeding. He states that his momdied of heart attack.