Case study 01 study clickcase to edit master title style a 55 yo man complained of chest discomfort when exercising since the last 2 months. Chest pain: chest pain can be caused by angina, coronary spasm, mi, pericarditis, gastroesophageal reflux, aortic dissection, and many more causes our patient is not currently in any chest pain, but he does have a pace maker. In the study pulmonary arterial hypertension secondary to adult-onset still's disease: response to cyclosporine and sildenafil over 15 years of follow-up, dr doug helmersen, a respirologist at the division of respirology, department of medicine, university of calgary, in canada and colleagues described the case of a 40-year-old woman. Angina pectoris is the result of myocardial ischemia caused by an imbalance between myocardial blood supply and oxygen demand it is a common presenting symptom (typically, chest pain) among patients with coronary artery disease (cad. Chest pain syndrome is inclusive of symptoms that may be caused by acute myocardial ischemia and includes such diverse complaints as chest pain, chest pressure, neck pain, jaw pain, shoulder pain, epigastric pain, back pain, palpitations, dyspnea, cough, nausea, weakness and malaise, or dizziness.
• when taking a history of chest pain always enquire about smoking status (pack years), presence/absence of diabetes mellitus, hypercholesterolaemia, hypertension, and whether there is a previous history of. This case study presentation demonstrates how echocardiography has a role in assessing patients for pulmonary hypertension and assessing the disease progression and hemodynamic consequences a right heart catheterization is the gold standard for measuring the pa pressure and diagnosing pulmonary hypertension. The following is the assignment for which this sample case study presentation was written clinical assignment 1: written case presentation choose a patient from your clinical experience and develop a written clinical case presentation.
Case 1 chest pain dina hazwani binti azlang izyan izzaidah binti zali 2 history c/c - a 54 years-old malay man with crushing chest pain hopi- cs , 54-year-old man with hypertension who presents to the ed at 500am with crushing chest pain and difficulty breathing. In this case, the chest pain/angina reduced with anti-hypertensives (nebivolol) so it is highly possible that the patient experienced it working and the dizziness is a known side-effect of the drug when the patient temporarily stopped the drug the symptom dizziness did not go away and at the same time the bp did not rise so its possible to say. Chief complains: - occasional headache, dizziness and giddiness for months - chest pain for months - sleeplessness for months history of presenting complains: according to the patient's statement, he was reasonably alright months back.
Mennonite college of nursing at illinois state university family nurse practitioner i 471 case study: hypertension client #1: mrs frances long is a 70-year-old white woman who visits you regularly for treatment of type ii diabetes mellitus for which she takes insulin. Cardiovascular case study analysis cardiovascular case study analysis homer is a 58 year old male caucasian who farms in the community he seeks treatment in the clinic today for complaints of weakness. Acute aortic dissection is an uncommon disorder which can have fatal results in the event of treatment delay or misdiagnosis this case examines a 77-year-old woman presenting with chest pain relieved by nitroglycerin she was referred to the emergency room with clinical suspicion of acute coronary.
Case: a 23-year-old man with no significant medical history presented to a local hospital emergency department complaining of intermittent chest pain for 1 day the patient reports pressure-like substernal pain of a duration of 30 to 45 minutes, radiating to both arms. Rapid access chest pain clinics have improved diagnosis of incident angina in those with high risk of cardiovascular disease, but misdiagnosis rates are high and a recent study showed that a third of all cardiac events in subsequent follow-up occurred in those diagnosed with non-cardiac chest pain. Case records of the massachusetts general hospitalsep 13, 2018 case 28-2018: a 39-year-old man with epistaxis, pain and erythema of the forearm, and pancytopenia.
Hours9 as indicated in this case study, a vast array of eti- ologies may be responsible for noncardiac chest pain however, psychogenic causes and gastrointestinal disor. Case study: hypertension define blood pressure blood pressure is the pressure exerted by circulating blood upon the walls of blood vessels , and is one of the principal vital signs. Cardiovascular case study 2 pj's symptoms show characteristics of stable angina and hypertension with the frequent and recurring chest pains with less activity, stable angina shows signs of becoming unstable. This case also points to the positivity of rheumatoid factor and anticardiolipin antibodies which served as a guide to investigate pulmonary hypertension associated with sle1 , though further studies need to be done on their sensitivity and specificity and thereby relevance of their prognostic use in future.
The absence of chest pain or the presence of atypical chest pain, however, does not rule out an acs--especially if the patient has other signs and symptoms and a history of cardiac disease (eg. Case list disclaimer: review of the case(s) is intended for educational purposes only, not for research. Case studies in primary hypertension results from the hot trial revealed that a dbp of 826 mm hg in nondiabetic hypertensive patients result-ed in the lowest incidence of major cardiovascular events.