CoullDDCEchest pain.docx - Document Provider Notes \u2013 NURS 6512 Focused Exam Chest Pain Dawn Coull Subjective CC\"Chest pain now and then for the past

CoullDDCEchest pain.docx - Document Provider Notes u2013...

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Focused Exam: Chest Pain Subjective CC: "Chest pain now and then for the past month" HPI: 58-year-old Caucasian male presents to the clinic today with c/o intermittent moderate chest pain that started earlier this month. He described it as a "tightness" in the substernal area that he correlates to occurring with physical activity and resolves with rest. He denies radiation of the pain, dyspnea, or any dizziness. Pt denies any past cardiac history, reports he has had several EKG tests done in the past, and has had annual "stress tests" which he believes to have been normal. Patient is currently pain free but rates the chest pain at 5/10 when it does occur. Medications: Metoprolol 100mg daily Atorvastatin 20mg daily Omega 3 fish oil 1200mg twice daily Allergies: Codeine - N/V PMH: HTN, hyperlipidemia, no surgeries. UTD on Tdap and influenza vaccines Social History: Employed as an engineer, 16 years at his current place of business. Married for 27 years with 2 adult children. Never smoker, pt. does report "a few beers" on the weekends
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