Unit 1 Discussion Due 5/4/20
Chest Pain (275 words)
Scenario:
A 52-year-old male patient who is a house painter presents to the office
reporting chronic fatigue and “mild” chest pain. When he is painting, the chest pain is
relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and
occasionally spreads to his left arm before subsiding. The patient was last seen 3 years
ago by you, and you recommended diet changes to manage mild hyperlipidemia, but
the patient has gained 30 pounds since that time. The patient’s medical history includes
anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not
smoke or use other tobacco or nicotine products. The patient cares for his wife, who has
multiple sclerosis and requires 24-hour care. His daughter and grandson also live with
the patient. His daughter assists with the care of his wife, and his job is the major
source of income for the family. The initial vital signs are: blood pressure 158/78, heart
rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up,
