Assignment: History of Present Illness

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Assignment: History of Present Illness

Assignment: History of Present Illness

NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: History of Present Illness

Apply information from the Aquifer Case Study to answer the following discussion questions:

•Discuss the history of present illness that you would take on this patient in preparation for the clinic visit. Include questions regarding Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity (OLDCARTS).

•Describe the physical exam and diagnostic tools to be used for Ms. Johnston. Are there any additional you would have liked to be included that were not?

•What plan of care will Ms. Johnston be given at this visit; what is the patient education and follow-up?

Do Two pages.

Provide References.

See attached Aquifer Case Study.

7/13/19, 3(41 PMInternal Medicine 02: 60-year-old woman with chest pain – South Univ…ollege of Nursing and Public Health Graduate Online Nursing Program

Page 1 of 50https://southu-nur.meduapp.com/document_set_document_relations/90959

South University College of Nursing and Public Health Graduate Online

Nursing Program

Aquifer Internal Medicine

Internal Medicine 02: 60- year-old woman with chest pain

Author:Author: Kirk A. Bronander, MD; Associate Editor, Amy E. Blatt, MD; Case Editor, Amalia Landa-Galindez, MD

INTRODUCTION CARE DISCUSSION

DIAGNOSES

FINDINGS

NOTES

BOOKMARKS

MENUMENU

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7/13/19, 3(41 PMInternal Medicine 02: 60-year-old woman with chest pain – South Univ…ollege of Nursing and Public Health Graduate Online Nursing Program

Page 2 of 50https://southu-nur.meduapp.com/document_set_document_relations/90959

Dr. Lorenzen asks Dr. Lorenzen asks you to see Ms. Johnston.you to see Ms. Johnston.

!

You are working with Dr. Lorenzen, who asks you to start interviewing Susan Johnston, a patient she knows well who is here to discuss recent symptoms of chest pain.

DIFFERENTIAL DIAGNOSIS CLINICAL REASONING Before seeing the patient, Dr. Lorenzen asks you to review the differential diagnosis for chest pain. She reminds you, “There are many causes of chest pain including cardiac, gastrointestinal, pulmonary, musculoskeletal and psychogenic causes.”

Question List below three potential causes of chest pain in each of the categories mentioned.

7/13/19, 3(41 PMInternal Medicine 02: 60-year-old woman with chest pain – South Univ…ollege of Nursing and Public Health Graduate Online Nursing Program

Page 3 of 50https://southu-nur.meduapp.com/document_set_document_relations/90959

The suggested answer is shown below.

Pericarditis, Myocardial Infarction, Aortic Dissection, GERD, Esophageal Spasm, Heart Burn, Pneumonia, Pleuritis, Flu, Costochondritis, Trauma, Lower Rib Pain Syndrome, Anxiety, Hyperventilation, Depression.

Letter Count: 207/1000

SUBMITSUBMIT

Answer Comment See Teaching Point below

Broad DiIerential Diagnosis of Chest Pain

CardiacCardiac

Cardiovascular Causes of Chest PainCardiovascular Causes of Chest Pain

SymptomsSymptoms SignsSigns OtherOther abnormalitiesabnormalities

AnginaAngina

Chest pressure that may radiate to neck/arm/shoulder. May have associated

May have abnormal blood pressure, lower

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