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Focused_Exam__Chest_Pain___DOCUMENTATION.

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Focused Exam: Chest Pain Results | Turned In Advanced Health Assessment - Chamberlain, NR509-April-2018 Return to Assignment Your Results LLaabb PPaassss Document: Vitals Document: Provider Notes ... Document: Provider Notes Student Documentation Model Documentation Subjective Patient information Brian Foster date of birth August 17th, a 58 year old Caucasian male CC: mr. Foster States" I have been having some troubling chest pain in my chest now and then for the past month." HPI: VS: b/p (L) ARM 146/88 mmhg (R) arm 146/90 mmhg MAP 109mmhg HR 109 BPM RR- 19 O2 Sat 98% RA Temp: 36.7 C (98 F) Onset of chest pain one month ago, lasting " few min" pt states, "thought it may be heart burn" reports Tight and uncomfortable right in the middle of the chest. Denies any pain radiating denies any arm pain shoulder pain back pain or neck pain. Pain only last a few minutes. An uncomfortable feeling that lasts a few minutes reporting 3 episodes in the past month and all feels the same. Pain currently a zero when having chest pain is 5 out of 10 on pain scale. Patient describes pain as tight and uncomfortable. Patient denies crushing or burning pain to the chest. Laying down seems to alleviate the pain with a brief rest. Not taking any medications for chest pain. Episodes of chest pain started with physical activity while doing yard work [Show More]

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