Essays on Chest Pain

Objective Data

Physical assessment procedures on the patient can help to identify some findings that can form a vital part of the pain diagnosis and influence treatment regimens. The following are some of the key inspections features that a health practitioner can seek out when assessing the patient according to “Chapter 8. Pain Assessment”;

Posture

The patient’s posture gives an insight into the effects of the pain on the physical aspects of the patient. An upright posture may indicate comfort while a slumped posture might indicate discomfort.

Facial Expression

A smiley face with appropriate facial expressions and proper eye contact would indicate that ...

Main Risk Factors for Cardiovascular Disease

According to the World Heart Federation (WHF, 2016), the majority of cardiovascular disease (CVD)’s etiology stems from risk factors that can easily be controlled or managed or modified although a few other risk factors cannot be controlled. For that matter, the risk factors can be grouped into two broader categories (I) modifiable factors and (II) non-modifiable factors. For the modifiable factors, they include hypertension, cholesterol, unhealthy diets, obesity and overweight, physical inactivity, and the use of tobacco (WHF, 2016). On the other hand, the non-modifiable factors include age; the risk of CVD increases with age because as a ...

Heart disease, otherwise known as coronary artery disease, is a name given to a side array of conditions that impact the heart. These disease include arrhythmias, congenital heart defects, and. At times, heart disease has been called cardiovascular disease as if the two refer to the same issue. While they both involved the heart and human body, they are not the same. Heart disease refers to the aforementioned issues, among others, while cardiovascular disease refers to blocked, clogged, or narrowing blood vessels. Cardiovascular disease can often lead to an angina, a heart attack, general chest pain, or even a ...

Atrial Fibrillation

Atrial fibrillation is the most encountered cardiac rhythm disorder in clinical practice. It affects <1% of persons aged <60 years. This prevalence increases to 10% in persons aged >80 years (Amerena, Walters, Mirzaee and Kalman, 2013). Atrial fibrillation is a key differential diagnosis in patients presenting with chest pain, palpitations, shortness of breath, light-headedness, and syncope (Cruickshank, 2008). This paper will examine the differential diagnosis, pathophysiology, and paramedic implications of atrial fibrillation in relation to the case of a 43-year old male who presents with features and ECG findings of atrial fibrillation. It will first examine ...

Q1: Prioritizing patient care will help to complete nurse’s shift duties without any adverse patient complication. Prioritizing will help to plan out the day and in managing the cases in the most effective way (Alfaro-LeFevre 2014). The best path to plan care for the patient with different medical and surgical priorities is to set timed objectives and meet the discharge goals based on the urgency of the medical or surgical condition. The handover from the staff of the previous shift provided the information for 4 patients, of which Lucy’s condition is more of an emergency that will ...

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Health History and Physical Examination

A 50 years old American Male comes to the hospital with angina-like symptoms. Subjective Data Demographic data: There exists a risk of cardiovascular ailments or malfunctioning. The patient is an IT professional with long sitting schedules.

Reason for care: The patient was admitted to the emergency ward due to the severity of the pain 6 days back.

Present illness: Currently facing chest congestion with breath shortness and exertion, with heavy perspiration, recommended cardiac catheterization. Perception of health: Patient is an educated, independent and sincere individual who thinks that he is healthy and with several precautions he will overcome the current situation. He is little worried about his excessive ...

The cardiovascular system consists of blood, the heart, and the circulatory system, which includes veins, arteries, and capillaries. The function of these organs is to transport oxygen from the lungs to cells throughout the body. Each organ system in the body is essential in providing homeostasis in the human body. However, the actions of the cardiovascular system are critical to human life. Many physicians, scientists, and other professionals dedicate their life to the understanding of the cardiovascular system and its diseases so that people can live longer and more productive lives. This paper will discuss the general anatomy of ...

Abstract

Medical personnel working in the emergency department encounter many cases of patients suffering from life threatening conditions. It is important, therefore, that the healthcare provider determines the exact extent of the injuries before the patient is committed to specialized treatment. In this case, a patient presents to the emergency department with a life threatening condition, renal failure. Assessing the vital signs of the patient is critical in ensuring survival, in addition to reducing or mitigating the extent of the injuries. The assessment was achieved via a primary survey of the patient, which involved assessing the airway patency, breathing and ...

R M. G

Dr. S P. A., a 56 year old Italian male that identifies with the Italian culture with no significant past medical history presents to the emergency department with the chief complaint of recurrent chest burning. P.A. says his wife believes that he is showing symptoms of having GERD but he has never been diagnosed. P.A states that “the chest burning and discomfort began five days ago and just got progressively worse despite his self medicating with TUMS” he presented to the emergency department on 05-31-16 and felt “some improvement” after a GI cocktail was administered. One set of biomarkers ...

The chief complaints of a patient, which will be discussed in this paper, are of a female student who is nineteen years old and raised an issue as she states, “I experience irritation and feel scratchy because of the rash behind my knees and on my arms.” The subjective and objective data will be collected to evaluate the complaint of the patient and the patient will be guided according to the health promotional strategies.

Subjective Data

Presenting complain: I experience irritation and feel scratchy because of the rash behind my knees and on my arms. History of presenting complains: The onset ...

Report for Case

Introduction Hansen and Jessen explain that Coccidioidomycosis is a fungal disease that attack lung and other sensitive tissues of the body (Hansen and Jessen 17). It is mostly common in warm and arid areas in some parts of the US. The symptoms of Coccidioidomycosis are fatigue, coughing, chest pain, especially during the morning times. Mostly, an individual who smokes and uses other forms of drugs is prone to this kind of infection. In addition, Coccidioidomycosis is characterized by frequent headache and high fever during the summer.

The results after Tommy Atkins was subjected to x-rays in determining the fate ...

Monomorphic Ventricular Tachycardia

Cardiac arrhythmias often require immediate medical care that may include resuscitation (Ray, 2004). The diagnosis of cardiac arrhythmias can be challenging particularly in situations whereby the patient is asymptomatic and ECG findings are normal between symptomatic episodes (Cruickshank, 2008). Distinguishing between supraventricular and ventricular tachycardia is also a challenge (Australian Resuscitation Council, 2008). Cardiac arrhythmia should be suspected in patients with a history of syncope, near syncope, palpitations, and/or chest pain (Cruickshank, 2008). This paper will justify why monomophic ventricular tachycardia is the most likely diagnosis of a male patient who collapsed abruptly and has hypotension (BP 63/38), tachycardia ( ...

Acute coronary syndrome is an umbrella term for a group of clinical symptoms indicative of acute myocardial ischemia. These conditions include non-ST-segment elevation myocardial ischemia (NSTEMI), unstable angina, and ST-segment elevation myocardial infarction (STEMI). These conditions are high-risk manifestations of atherosclerosis in the coronary artery and significant causes of utilization of emergency services and hospitalization (Kumar and Cannon, 2009). STEMI causes 30% of all acute coronary syndromes in Australia (Harper and Lefkovits, 2010). This paper will describe the expected presentation, pathophysiology, ECG findings, pre-hospital management, and initial 24-hour management of STEMI in hospitals settings. These aspects will be described ...

People tend to ignore that unfair or unequal treatment by medical and mental health professionals still exists in our society, and this is largely contributed to the “institutional discrimination” that is upheld in a predominantly white-male society. Years of unequal practice have formed blanket biases and opinions that affect every aspect of the healthcare community, and often these practices are unintentionally upheld because they are engrained in our social framework. This reflection paper will address my recent experience with medical treatment and how stigmatization influenced the quality of care that I received. A few weeks ago, I was having ...

Coronary heart disease is a heart condition that results from the blockage of the coronary artery that supplies the heart with oxygen and other nutrients for nourishment. The blockage of the coronary artery is caused by a plaque that forms along the artery. Coronary heart disease starts to develop when cholesterol is deposited on the walls of the coronary artery and forms a plaque. With time, more cholesterol is deposited and the plaque grows bigger. Consequently, the artery gets inflamed and the risk of the formation of blood clot increases. The plaque may also release chemicals that promote the ...

ICU Observation Evidence-based Practice

ICU Observation Evidence-based Practice

Introduction of the Patient

The patient goes by the name T.P. A 72-year-old male who’s a retired truck driver. He’s immediate family includes his wife, daughter, and grandson (10 years old who is autistic and has turrets syndrome). He is currently diagnosed with myocardial infarction and altered mental state. The past medical history of this patient shows that he has suffered a lot of diseases including hypertension, diabetes mellitus Type 2, congested heart failure, peripheral neuropathy, CKD-3, CAD, dementia, chronic kidney disease and GERD.

The primary medical diagnosis is myocardial infarction which refers to regional myocardial necrosis ...

Introduction

Approximately 2.5 million individuals in the United States contract pneumonia annually, and 55,000 of those individuals die as a result. In fact, pneumonia was the eighth prominent cause of morbidity and is the number one communicable disease in the United States. Pneumonia is the leading deadly hospital-contracted disease and contributes to a sizable amount of deaths in unindustrialized countries as well. It is a grave illness that can impact individuals in all age groups, but it is especially serious in adolescents, the elderly population, and in people with fundamental medical issues such as ischemia, low blood sugar, and ...

PHYSICAL EXAM:

You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction

E. Diabetes Mellitus

F. with Grade II diastolic heart failure.

G. Hypertriglyceridemia

H. GERD I.

J. Hypertension

Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure

Treatment Plan

Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...

Abstract

Back pain is considered as one of the most common medical problems in America. Various literature and research findings reveal that, out of ten Americans, at least eight will experience back pain at some point in their life. This paper critically analyzes back pain as a medical problem, highlighting its traditional and alternative medical options. Various credible sources of information are critically analyzed herein, in an endeavor to develop the skills of rational evaluation of the medical information.

Introduction

Back pain ranges from a dull ache to a sudden sharp pain that makes movement not easy. It starts quickly as a result of muscle ...