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Chamberlain College of NursingNURSING nr 603nr 603 wk 3 case study summary
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Running Head: WEEK 3 CASE STUDY SUMMARY Week 3 Case Study Summary Sara Martinez Chamberlain University NR 603: Advanced Clinical Diagnosis and Practice Across Life Span January 2019 2 WEEK 3 CA... SE STUDY SUMMARY S: SUBJECTIVE DATA Chief Complaint (CC): CP/SOB 3 days ago. “My wife made me come, I feel fine.” History of present illness (HPI): Chest heaviness, SOB, “sweaty,” nausea, all lasting approx. 3min. None before, none since. Now only feels more tired than normal. “It could be that I have not worked out since it happened.” More energy until episode happened, now concerned because more tired than normal, especially when tries to work out. Not as much strenuous running since episode. Past Medical History (PMH): Overall health reported as good. Chicken pox as a child. H/o HTN, hyperlipidemia; both being managed with lifestyle changes. NKDA. Tonsillectomy, adenoidectomy, cholecystectomy, vasectomy, no h/o blood transfusions. Does not take flu shot. No current medications. Family History (FH): Parents: deceased (Mom: CVA complications; dad: lung cancer). Siblings: brother deceased at 44 (malignant melanoma). Another brother & sister healthy. Social History (SH): Married x20yrs, works as architect. Beer/glass of whiskey/occasional cigar when playing poker with friends. Exercises regularly up until CP 3 days ago. [Show More]
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