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Case #2: A 52-Year Old Female with Chest Pain A 52-year-old woman presents to the

Case #2: A 52-Year Old Female with Chest Pain A 52-year-old woman presents to the urgent care clinic with intermittent chest discomfort. She reports that the discomfort occurs during her morning walks when she tries to keep pace with her grandchildren and resolves after resting for 10-15 minutes. She describes it as a pressure-like sensation in the mid-chest, occasionally accompanied by mild shortness of breath. She denies any radiation of the discomfort to her arms, back, or jaw. She has also noticed that these episodes are more frequent in the last month, occurring about three times a week. She is concerned because her older brother recently had a coronary artery bypass surgery at age 65. She denies nausea, vomiting, dizziness, palpitations, epigastric pain, or cough. Her medical history includes mild hypertension controlled with a thiazide diuretic, and she has been postmenopausal for 10 years. She does not smoke but drinks a glass of wine with dinner most evenings. She lives with her husband, and they recently retired to a rural area where they care for their grandchildren several days a week. Family history is significant for her father passing away from a heart attack at 78 and her mother having type 2 diabetes. Physical Examination: • General: The patient appears anxious but is in no acute distress. • Vital Signs: Temperature 98.6°F; Pulse 96; Respirations 18; BP 148/86. • Skin: • Lymph Nodes: Non-palpable. • HEENT: • Chest: Clear to auscultation. • Cardiovascular: JVP Image transcription text Case #2: A 52-Year Old Female with Chest Pain A 52-year-old woman presents to the urgent care clinic with intermittent chest discomfort. She repo… Show more

 
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