FLORENCE BLACKMAN IHUMAN CASE STUDY 66 YEAR-OLD FEMALE – CHEST PAIN 2-ALL VERSIONS

FLORENCE BLACKMAN IHUMAN CASE STUDY 66 YEAR-OLD FEMALE – CHEST PAIN 2-ALL VERSIONS
Student Worksheet for iHuman Case Debrief
Think about the clinical presentation that you would expect for each diagnosis. What signs & symptoms did
the patient present with that were consistent with/expected for that diagnosis? (Include history findings
(HPI, ROS, SH, FH, PMH), physical exam findings, and diagnostic tests). What
history/signs/symptoms/diagnostics would you expect for that diagnosis that was lacking?
DIAGNOSIS: Unstable Angina
Pertinent Positives List the Findings Rationale
Subjective findings
(HPI, ROS, PMFSH)
• Constriction inmiddle of
chest
• Chest discomfortstarted
during exercise.
• Pain radiating to left arm
• Shortness of breath
• History of hypertension
• History of
hyperlipidemia
• History of smoking
• Diagnosis of coronary
artery disease
• Stressful work
environment
• Family history of heart
• These symptoms that the patient
experienced are associated with
unstable angina. The risk factors also
align with the diagnosis of unstable
angina.
disease
Objective findings
(Physical Exam & Diagnostics)
• Lipid profile showed a
cholesterol level of 200
and an HDL of 45
• No evidence of
cardiomegaly seen on
CXR
• No evidence of ischemia
seen on 12 lead ECG
• Troponin was not
elevated
• TEE showed no evidence
of structural or
functional abnormality
• CK-MB was not elevated
• BMP was normal
• CBC was normal
• The findings of the lipid profile show an
elevated cholesterol and unchanged
HDL after six months of lipid lowering
therapy. This finding can contribute to
the cause of unstable angina. The other
diagnostics showed negative findings
which rules out other diagnoses.

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