Assessing A Patient Experiencing Chest Pain Assignment Paper

Assessing A Patient Experiencing Chest Pain Assignment Paper

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A 45-year-old Hispanic female presents to your clinic with complaints of non-radiating pain in her chest for the last three days. She denies any other symptoms other than general soreness secondary to gardening and laying mulch in her yard last weekend. What are the key elements that need to be asked during the history? Which diagnostic tests and physical exam assessment will you perform? What is your differential diagnosis and follow-up for the patient? Assessing A Patient Experiencing Chest Pain Assignment Paper

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Discussion  

When assessing a 45-year woman who is experiencing chest pain that does not radiate, it is important to gather a detailed history, conduct a thorough physical examination and perform relevant diagnostic tests. First, one should start by asking about the characteristics of the chest pain such as its nature, when it started, how long it has been present and how intense it is. Secondly, there is need to inquire about any accompanying symptoms like shortness of breath, nausea, sweating or if the pain spreads to the arms, jaw or back. It is also essential to explore her history including any risk factors like high blood pressure diabetes, smoking habits or a family history of heart disease (Durazzo et al., 2020). Additionally, there is need to assess her level of activity and inquire about any previous occurrences of chest discomfort.

During the examination process, the provider should start by measuring signs with particular focus on blood pressure readings along with heart and respiratory rates. It is also essential to conduct an examination including listening for abnormal heart sounds such as murmurs or irregular rhythms, and observe for signs of distress or changes in skin coloration such as checking for peripheral swelling or edema (Kamionkowski et al., 2022)Assessing A Patient Experiencing Chest Pain Assignment Paper . It may also be beneficial to perform musculoskeletal examinations in order to identify potential causes of chest pain.

Given her age and chest discomfort, it is essential to consider a wide range of differential diagnoses, including musculoskeletal strain, gastroesophageal reflux disease (GERD), anxiety, and even atypical cardiovascular conditions (Ma et al., 2022). To determine the cause of the symptoms it is recommended to conduct tests. These tests may include an electrocardiogram (ECG) to check for any heart related issues a chest X ray to assess lung or musculoskeletal problems and enzymes if there is a strong suspicion of heart involvement (Statuta et al., 2022)Assessing A Patient Experiencing Chest Pain Assignment Paper . If other possible causes such as GERD (reflux disease) are suspected additional tests like endoscopy may be necessary.

The type of follow up required will depend on the diagnosis. If it is determined that there is no heart involvement addressing gastrointestinal causes and providing reassurance may be enough. However, if symptoms persist or become severe further evaluation should be considered. This could involve stress testing or referral, to a specialist. Lifestyle modifications and cardiovascular risk factor assessment should also be discussed to mitigate future cardiac risks.

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References

Statuta, S. M., Barnes, E. S., & MacKnight, J. M. (2022). Non-Cardiac Conditions that Mimic Cardiac Symptoms in Athletes. Clinics in Sports Medicine, 41(3), 389-404.

Durazzo, M., Lupi, G., Cicerchia, F., Ferro, A., Barutta, F., Beccuti, G., … & Pellicano, R. (2020). Extra-esophageal presentation of gastroesophageal reflux disease: 2020 update. Journal of clinical medicine, 9(8), 2559.

Kamionkowski, S., Shibli, F., Ganocy, S., & Fass, R. (2022). The relationship between gastroesophageal reflux disease and autism spectrum disorder in adult patients in the United States. Neurogastroenterology & Motility, 34(7), e14295.

Ma, S. D., Patel, V., & Yadlapati, R. (2022). Factors that impact day-to-day esophageal acid reflux variability and its diagnostic significance for gastroesophageal reflux disease. Digestive Diseases and Sciences, 67(7), 2730-2738. Assessing A Patient Experiencing Chest Pain Assignment Paper