A 55 year old female walks in to the clinic with the chief complaint of chest pain. The chest pain “comes and goes”.
1.Describe the work up that will take place in the office today.
2.What are the differential diagnoses?
3.Choose one of the likely diagnosis and outline the treatment plan for her, include medications and lifestyle changes as needed.
Be sure to appropriately cite any sources you use to support your responses with standard APA citations. Answer the prompt question(s) thoroughly using a minimum of 150-200 words
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Diagnosis of Chest Pain Complaint
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Diagnosis of Chest Pain Complaint
A 55 year old female who walks into the office with chief complaint of chest pain that “comes and goes” could signify possible myocardial infarction. According to Souza (2014) there is a large variation in the presentation of chest pain and this necessitates proper evaluation. Once the patient presents herself in the clinical office, patient evaluation will be done. The evaluation includes requesting from the patient for their medical history, the patient physical activities, and other areas of the body such as hands, arms, and shoulder where the pain may have been felt.
The possibility of myocardial infarction is often the first consideration in adults when they report to the emergency room with complaints of chest pain. However, there is need for further diagnosis to rule out other possible conditions such as pneumonia and pulmonary embolism. Differential diagnosis provides a way in which further diagnosis can be done to determine presence of other conditions (Dennison & Farrell, 2015). The differential diagnoses for myocardial infarction are swallowing of lidocaine to relieve esophagitis, and inserting nitroglycerin under the tongue to diagnose coronary insufficiency. In addition, chest x-rays, lung scan, and arterial blood gases may be conducted to eliminate other possibilities. The first treatment line for the female patient is the use of nitroglycerin to increase vasodilation and blood flow to the myocardium (Souza, 2014). The drug should be provided through continuous IV infusion using non-absorptive tubing at 5 mcg/min. This should be increased at intervals of 3-5 minutes at rates of 5 mcg/min up to 20 mcg/min. The lifestyle changes that the patient may need to adopt include increasing………………………………………………………………………………………………
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