6512N Wk7Assign1.docx - Document Provider Notes \u2013 NURS 6512 Name Mr Brian Foster Focused Exam Chest Pain Subjective Chief Complaint \u201cI have been

6512N Wk7Assign1.docx - Document Provider Notes u2013 NURS...

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Name: Focused Exam: Chest Pain Subjective Mr. Brian Foster Chief Complaint: “I have been having some troubling chest pain in my chest now and then for the past month” History of Present Illness: Mr. Foster is a 58 years old Caucasian male, complaining of intermittent chest pain lasting for couple minutes. Patient thought at first that it was heartburn, and added that his chest pain started a month ago and mostly feels tight and uncomfortable right in the middle of his chest. Mr. Foster first experience the chest pain during yard work, and the second time happen while climbing the stairs. Patient states that the pain does not radiated subsided at rest. Patient denies shortness of breath, no nausea, no dizziness, no previous history of syncope. Denies pain at the moment. Current Medications: Metoprolol 100 mg po daily Atorvastatin 20 mg po daily at bedtime last dose last night at 10pm Over the counter supplement: Omega-3 Fish oil 1200 mg po twice a day, last dose this morning at 8:00 Allergies: Codeine experience nausea and vomiting Immunization: Tdap in October 2014 Influenza vaccine this seasonPast Medical History: Hypertension. diagnosed a year ago Hyperlipidemia, diagnosed at one year ago No surgical history no hospitalization Family History: Father had hypertension, hyperlipidemia, obesity, and Died of colon cancer at the age of 75 Mother is 80 years old, has Type II diabetes, hypertension Brother died at the age 24 from motor vehicle accident
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  • Fall '18
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