IHUMAN Cardiovascular Case (Unstable Angina) Complete Review
1. Patient Encounter
- History Taking:
- Patient Name: Jane Smith
- Age: 62
- Gender: Female
- Chief Complaint: "I've been having chest pain and feeling
very tired for the past week."
- History of Present Illness (HPI): Jane reports that the chest
pain started about a week ago. The pain is described as a tight,
squeezing sensation in the center of her chest, radiating to her left
shoulder and neck. The pain occurs mainly during physical
activity and is relieved by rest. She also notes increased fatigue
and shortness of breath.
- Past Medical History (PMH): Hypertension, hyperlipidemia,
and type 2 diabetes mellitus.
- Family History (FH): Father had a myocardial infarction at
age 58. Mother has hypertension and diabetes.
- Social History (SH): Jane is a non-smoker and does not
consume alcohol. She works as a librarian and leads a relatively
sedentary lifestyle.
- Review of Systems (ROS):
- Cardiovascular: Chest pain, palpitations.
- Respiratory: Shortness of breath, no cough or wheezing.
- Gastrointestinal: No nausea, vomiting, or abdominal pain.
- Neurological: No dizziness, syncope, or weakness.