NR 603 Week 3 Case Discussion: Cardiovascular (2021 edition)-Graded A+

Hello Dr Martin and Class, Week 3 Case Discussion: Cardiovascular Patient Information: Lorene, 60-year-old African American female, insurance unknown. SOAP S: Lorene’s chief complaint is shoulder discomfort and sho ...

Hello Dr Martin and Class, Week 3 Case Discussion: Cardiovascular Patient Information: Lorene, 60-year-old African American female, insurance unknown. SOAP S: Lorene’s chief complaint is shoulder discomfort and shortness of breath following exercise that started three days ago. She felt "a discomfort" radiating back and up between her shoulder blades. She also experienced feelings of nausea as well as sweat. However, these symptoms were resolved 3 minutes after exercises and have not recurred. The patient reports currently not being on medication after stopping Lisinopril that she was on, citing learning its side effects. Hx allergy to metformin, GI disturbance. PMH: Admits challenge to make healthy food choices. Exercise and diet has been the patient’s weight loss routine. The patient feels a little more tired than usual since stopping workout after chest pain. Chronic illnesses: Hypertension, Dyslipidemia, and Metabolic Syndrome. Moreover, gestational Diabetes has been experienced in the last 3 pregnancies which was managed with Insulin. Surgeries: T and A, cholecystectomy Childhood/previous illnesses: chickenpox. Immunization: None. Does not receive the flu shot. Soc Hx: Reports being a married for the last 20 years. Patient regularly eats out and consumes beer, wine, or cigarettes while entertaining clients on a weekly basis as part of her role as a CEO of a marketing company. Fam Hx: Lung cancer (father), mother (stroke and diabetes type 2), brother (malignant melanoma), sister and brother (metabolic syndrome) ROS: CONSTITUTIONAL: Reports increased fatigue as of 3 days ago. Planned weight loss. Does not report experiencing fever or chills. HEENT: None SKIN: None