FLORENCE BLACKMAN iHUMAN 49 YEARS OLD FEMALE PRESENTS WITH INTERMITTENT SQUEEZING CHEST PAIN

FLORENCE BLACKMAN iHUMAN 49 YEARS OLD FEMALE PRESENTS WITH INTERMITTENT SQUEEZING
CHEST PAIN
The iHuman assignment for Week 7 of Walden University’s NURS 6512 typically involves a
case study of a 49-year-old female patient, Florence Blackman, who presents with intermittent
squeezing chest pain. This case requires you to assess the patient's symptoms, take a detailed
history, perform a physical exam, and develop a differential diagnosis based on the findings. You
will also create a management plan tailored to the patient's needs. This assignment emphasizes
critical thinking in diagnosing and managing chest pain, which could potentially be related to
cardiac issues or other differential diagnoses.
Be sure to focus on gathering the patient's history of present illness (HPI), including when the
chest pain started, any triggers, and accompanying symptoms like shortness of breath or
radiation of the pain. The physical exam will guide you in narrowing down the possible causes.
The differential diagnosis might include conditions like angina, myocardial infarction, or
gastrointestinal causes such as GERD.
• Consider what physical exams and diagnostic tests would be most
appropriate to gather more information about the patient’s
condition.
• Reflect on how the results would be used to make a diagnosis.
• Identify three to five (3–5) possible conditions that may be
considered in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that
might support this diagnosis.
• Develop a treatment plan for the patient that includes health
promotion and patient education strategies for patients with
cardiovascular conditions.
Physical Exams:
1. Cardiac Examination:
o Inspection: Look for signs of cyanosis or pallor.
o Palpation: Assess for tenderness (which might indicate musculoskeletal origin)
and abnormal precordial movements.
o Auscultation: Listen for abnormal heart sounds like murmurs, gallops (S3, S4),
or rubs, which may indicate heart failure, ischemia, or pericarditis.
2. Respiratory Examination:
o Auscultation: Listen for crackles, wheezes, or diminished breath sounds, which
could indicate heart failure or a pulmonary condition like a pulmonary embolism.
3. Abdominal Exam:
o Palpation: Rule out epigastric tenderness, which could suggest GERD or a peptic
ulcer.
4. Musculoskeletal Exam:
o Assess for tenderness along the chest wall to rule out costochondritis or
musculoskeletal pain that might mimic cardiac issues. 

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