Chief Complaint Chest Pain Essay - 715 Words

[Type text] [Type text] [Type text] Adult Medicine Winter 2016 Chief complaint: Chest pain History of Present Illness- The patient is a 64-year-old female with a 15-pack year smoking history presents to clinic complaining of chest pain for the past two weeks. The chest pain is accompanied by fatigue and weakness. She denies any recent illness, fever, or weight change. She denies any hypertension and shortness of breath?.She was nauseous with hot flashes and sweating 4 days ago with no vomiting. She has a hyperlipidemia history, and her last lipid test was a year ago. She has an episode of chest pain 4 times for 3 minutes since 2 weeks ago. She described her pain like somebody sitting on her chest. Her pain is in the middle of her chest and radiated to her left jaw. Chest pain is relieved by rest and exacerbated by physical activity. She tried Ibuprofen for her pain with no relief. On a scale of 10, she rates the pain as an 8. She denied any major medical history and any hospitalization. She is not using any medication, and she is not allergic to any medication or envir onmental allergens. She has been married to her husband for 33 years. The Patient is concerned because symptoms have impeded her activities of daily living, including going to work, and she is concerned that it may be a heart attack. She missed her job 2 days last week. Past Medical History Hyperlipidemia Family History Father died at age 58 from heart attack, Mother is 93 with hypertension. NoShow MoreRelatedJoint Commission International, Centers For Medicare And Medicaid Services ( Cms ) Essay1412 Words   |  6 Pagesmuch was spent each month. For each month, a budget is created for the following year. Staff members at the unit level impact the budget with supply usage. †¢ Identify who within the organization contributes to budget development. Managers and Chief Executive Officer (K.E., personal communication, 2016). 3. 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