CramX Logo
RegisterLog in
IHuman Case Study: Florence Blackman (1 Solved Case) - Document preview page 1

IHuman Case Study: Florence Blackman (1 Solved Case) - Page 1

Document preview content for IHuman Case Study: Florence Blackman (1 Solved Case)

IHuman Case Study: Florence Blackman (1 Solved Case)

Master your subject with IHuman Case Study: Florence Blackman, designed to simulate real exams.

Christopher Lee
Contributor
4.6
62
over 1 year ago
Preview (6 of 18 Pages)
100%
Log in to unlock
Page 1 of 6
IHuman Case Study: Florence Blackman (1 Solved Case) - Page 1 preview imageFlorence BlackmanIhuman Case Study66 Year-old Female–Chest Pain2 DIFFERENT VERSIONS OF THE ANSWEREXPERTFEEDBACK(SOLUTIONS)CONTENTS :ALL QUESTIONS, OLD-CARTS for the HPI,(PMH,FH,SH asNeeded),PHSICAL EXAM,EXAMS FEEDBACK,CASEFINDINGS,FEEDBACK,DIFFERENTIAL RANKING ,DIAGNOSIS,CASE PLAN
Page 2 of 6
IHuman Case Study: Florence Blackman (1 Solved Case) - Page 2 preview image
Page 3 of 6
IHuman Case Study: Florence Blackman (1 Solved Case) - Page 3 preview imageVERSION 1FlorenceBlackman(66y/ofemale)–ChestPain•CC:Intermittentsqueezingchestpain•MSAP:Exertional“squeezing”mid-chestpainradiatingtoleftarm,relievedbyrest,worsewith cold•Associateddyspneaonexertion•History:HLD,HTN,previoussmoker,familyhxofheartdisease•StressfulworkHistoryQuestions:-HowcanIhelpyoutoday?-Anyothersymptomsweshoulddiscuss?-Doyouhaveanyallergies?-AreyoutakinganyOTCorherbalmedications?-Anyneworrecentchangesinmedications?-Whatdoesthepain/discomfortinyourchestfeellike?(squeezing,pressure,crushing,burning,stabbing,aching,tingling, suffocating)-Howsevere(scale1-10)isthepaininyourchest?-Doesanythingmakethepaininyourchestbetterorworse?-Whataretheeventssurroundingthestartofyourchestpain?-Isthereapatterntoyourchestpain?-Haveyouhadanytraumatoyourchest?-Doesthepaininyourchestradiatesomeplaceelse?Where?-Doyouhaveunusualheartbeats(palpitations)?-Doesthepaingetworsewithbreathing?-Doesyourpainawakenyoufromyoursleep?-Isyourpainaffectedbywhat,when,orhowmuchyoueat?-Doyoupresentlyhaveheartburn,afoodoracidtasteinyourmouth?-Doyoudrinkalcohol?Ifso,whatdoyoudrinkandhowmanydrinksperday?-Doyouhaveanyofthefollowingproblems:fatigue,difficultysleeping,unintentionalweight lossorgain,fevers, nightsweats?-Doyouexperience:SOB,wheezing,difficultycatchingbreath,chroniccough,sputumproduction?-Doesanythingmakeyourshortnessofbreathbetterorworse?-HowlongdoesyourSOBlast?-Doyouhaveanyofthefollowing:heatorcoldintolerance,increasedthirst,increasedsweating,frequent urination, change inappetite?-Doyouhaveanyofthefollowing:dizziness,fainting,spinningroom,seizures,weakness,numbness,tingling,tremor?
Page 4 of 6
IHuman Case Study: Florence Blackman (1 Solved Case) - Page 4 preview image-Doyouhaveproblemswith:N/V,constipation,diarrhea,coffeegroundsinyourvomit,darktarrystool,brightredblood inyourBM,earlysatiety,bloating?-Howisyouroverallhealth?-Tellmeaboutyourwork.-Tellmeaboutdailyexerciseorsportsthatyouplay.PhysicalExam:-Vitals:pulse,BP,respirations-Examineskin-Neck:measureJVP(jugularvenouspressure)-Neck:auscultatecarotidarteries-Chestwall&lungs:oVisualinspectionofanterior&posteriorchestoPalpateanterior&posteriorchestoAuscultatelungs-Heart:oPalpateforPMI(PointofMaximalImpact)oAuscultateheart-Abdomen:oAuscultateabdominal/femoralarteriesoPalpateabdomen-Extremities:VisualinspectionofextremitiesAssessmentnote:-F.B. is a 66 y/o Caucasian female presenting with 2-week h/o new onset, intermittent,stable chest pain which radiates to the L arm, occurs with SOB, is worse with coldtemperaturesandexertion,andimprovedbyrest.Onphysicalexamsheispainfreewithstable vital signs. PMH risk factors include: distant history of smoking (5 pack/years), ahistoryofHTN,andhighcholesterol,andafamilyhistoryofcoronaryvasculardisease.-Stresstest:2-mmSTsegmentdepressionininferiorleads,2,3,andaVFandV3-6Diagnosis:Coronaryarterydisease:stableanginaPlan:-Determine need for coronary angiography based on stress test results and ECHO. HerDuke score of 10.5 is slightly above moderate risk, and arguments could be made forbothatrialatmedicationinterventionsincetheptneedsimprovementonbothHTNandHLDoAugmentmanagementofpreexistingHTNandHLDwithaBB(metoprolol25mgXRdaily);astatin(atorvastatin40mgdaily);andASA81mgdaily-ContinueuseofHCTZ25mgdaily-Encouragelifestylemodification:oDecreaseintensityofaerobicworkoutsfornext3months
Page 5 of 6
IHuman Case Study: Florence Blackman (1 Solved Case) - Page 5 preview imageoD/calcoholfornext2monthsasstartsastatin-f/uin3-4weeksBenKapinsky(18y/omale)–Fever
Page 6 of 6
IHuman Case Study: Florence Blackman (1 Solved Case) - Page 6 preview image•CC:Fatigue,SOB,productivecoughwithyellow/greensputum•MSAP:Hypoxia•Tachypnea,dyspnea•Feverandchills•Fatigueandmyalgia•Right-sidedchestwallpainaggravatedbycoughing•Productivecough•Rightmiddleandlowerlungcrackles•Bilateralcervicallymphadenopathy•Tachycardia•Previoushxoftheflu2weeksago,butgotbetter•ChildhoodasthmaperhistoryHistoryQuestions:-HowcanIhelpyoutoday?-Anyothersymptomsorconcernsweshoulddiscuss?-Doyouhaveanyallergies?-Areyoutakinganyprescriptionmedications?-AreyoutakinganyOTCorherbalmedications?-Howhighisyourfever?-Whendidyourcoughstart?–4daysago-Isthereapatterntoyourcough?–no-Doesanythingmakeyourcoughbetterorworse?-Areyoucoughingupanysputum?–yellowishgreenstuff-What are the events surrounding the start of your cough?–symptoms started withoutmuchwarning,thoughtmaybejustgottiredgoingtotheparty,butgotworseovertime-Whattreatmentshaveyouhadforyourcough?–coughsyrup,doesn’thelp-Doyouawakenatnightcoughing?–yes,can’tsleep-Haveyouhadacoughlikethisbefore?–no-Doyouhaveanypaininyourchest?–yes,hereontherightsidewhenIcoughortakeadeepbreath(pointstorightthorax,6-8thintercostalspaceatmidaxillaryline)-Howsevere(1-10scale)isthepaininyourchest?–7-8whencoughordeepbreathe-Haveyouhadanycontactwithothersickpeople?–no-Tellmeaboutanycurrentorpastmedicalproblems?–nonebesidesmildasthma-Anypreviousmedical,surgical,ordentalprocedures?–nonebesidesfillingsinteeth-Haveyoueverbeenhospitalized?–no-Doyouhaveanyofthefollowingproblems:fatigue,difficultysleeping,unintentionalweightlossorgain,fevers,nightsweats?–“someofthatstuffforsure”
Preview Mode

This document has 18 pages. Sign in to access the full document!

Study Now!

X-Copilot AI
Unlimited Access
Secure Payment
Instant Access
24/7 Support
Document Chat

Document Details

Subject
Medicine

Related Documents

View all
Past Exams

PETH 410 Midterm

Class Notes

EPI Notes

Class Notes

Understanding Hemodialysis Patient Guide and Meal

Class Notes

Newborn Assessment Critical Thinking Map

Class Presentation

Maternal Health Theory and Applications

Solved Assignments

Gynecological Exam

Solved Assignments

Navigating the Difficulties of Addressing Intricat

Class Notes

Cardiovascular 2 Handout

Class Notes

NCLEX Key Concepts

Class Notes

Understanding EKG Rhythms and Pacemaker Care NCLEX