Discussion Cardiovascular

Cardiovascular Disorders
For this Discussion, you will take on the role of a clinician who is building a health history for the following case.
Case 3
Chief Complaint
A 75-year-old female reports experiencing pain in her chest while walking up steps today.
(CC)
Subjective
Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was
at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up,
denies pain feeling worse when taking deep breath.
VS
BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%
General
obese female, alert, in no acute distress.
HEENT
Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple
carries.
Respiratory
CTA AP&L
Neck/Throat
carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy
Heart
S1 and S2 normal without murmur, gallop, or rub
Once you received your case number, answer the following questions:
1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for each differential diagnosis.
Submission Instructions:
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Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2
academic sources.
At least 4 references.
Supplemental Materials & Resources
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Review the Centers for Disease Control & Prevention website for health promotion data and strategies related to:
o Chronic Disease Prevention and Health PromotionLinks to an external site.
CDC. (2019, May 31). Promoting health during the holidays 7 tips to stay healthy.
https://www.cdc.gov/chronicdisease/index.htm
o Preconception Health and Healthcare (for men)Links to an external site.
CDC. (2019, March 11). Information for men. http://www.cdc.gov/preconception/men.html
o HIV/AIDS Intervention ResearchLinks to an external site.
CDC. (2016, February 9). Intervention research| Research | HIV/AIDS | CDC.
https://www.cdc.gov/hiv/research/interventionresearch/index.html
o Healthy LivingLinks to an external site.
CDC. (2019, June 13). CDC healthy living. http://www.cdc.gov/healthyliving/
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Visit the CINAHL Complete under the A-to-Z Databases on the University Library’s website, locate and read the
articles below:
o Kapelus, G., Karim, R., Ross, C., Elgie, J. (2009). Interprofessional health promotion field placement: Applied
learning through the collaborative practice of health promotion. Journal of Interprofessional Care, 23(4), 410-413.