| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
Mr.
Raymond's chest pain certainly must be cardiac in nature.
-
Compelling family history for
coronary atherosclerosis.
-
Smoking history.
-
Chest pain fits.
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Lousy total cholesterol.
-
Fortuitous EKG at the time of
pain recurrence.
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Relief with nitroglycerin.
Questions to be answered:
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Why is the pain non-exertional?
Angina is supposed to be isn't it?
-
What's the breakdown on his
cholesterol?
-
What are his coronaries like?
We'll send blood to the lab
for HDL and VLDL cholesterol, but this isn't urgent.
Right now knowing whether
one of his coronaries is about to occlude is most important. Emergency
angiogram? |
|