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You Are Beautif

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Submitted By xPoPoPandax
Words 3152
Pages 13
Case Study: Coronary Disease
Laura Kwan

Past Medical History:
- tonsils removed as a child
- no regular medication
- takes reloads occasionally
Family Medical History:
- father died of myocardial infarction at age 52
- mother is 73 and in good health
Social History:
- moderately heavy social drinker
- 2-3 beers after work
- 5-6 beers per day on weekends
- smokes a pack of cigarettes a day
- married with two children
- finances are stable
History of Present Illness:
- woke up at 4am with pressure in his chest, described as “worst indigestion I ever had”
- sweaty and slightly short of breath
- achy, heavy feeling in his right arm
- ate pizza before bed (unhealthy)
- took four Rolaids initially - didn't bring any relief
- sitting made the pressure settle down
- he was clammy
- pressure on his chest persistently for approximately two hours
- put on oxygen mask
- nurses concerned about his EKG
- EKG showed 1 cm ST elevation on leads V2,3,4,5 with slight ST depression on leads 2,3 and
AVF
Physical Examination:
- heart rate was 110 (high heart rate)
- respiratory rate was 22 (high respiratory rate. Should be 16-20)
- blood pressure was 160/100 (high bp)
- sweaty, pale, and had no obvious jugular venous distention
- chest was clear on auscultation
- abdomen was unremarkable
- skin was slightly sweaty
- chest x-ray was normal with normal heart size
- lab work was normal
Research:
Heart Problems

-

closely linked to diet and lifestyle choices some preventable others due to genetic inheritance, infections, or other uncontrollable factors
2 of every 5 Americans will ultimately die of heart disease

Coronary Heart Disease
- most common of all heart problems
- characterized by blockages in the coronary arteries that result in a reduction in blood flow to the heart muscle, depriving it of vital oxygen
- usually, the disease

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