QUESTION: Name Three diagnoses, and Suggestion of what extra laboratory/diagnost
ID: 269016 • Letter: Q
Question
QUESTION: Name Three diagnoses, and Suggestion of what extra laboratory/diagnostic tests needed to come to a more definite diagnosis for this patient?
Peter Brown is a 58-year-old gentleman who has experienced an episode of crushing central chest pain while at work. Peter works as a taxi driver and a colleague has taken him to the Emergency Department. On admission, Peter is sweaty, clammy, nauseated and short of breath. He is complaining of chest pain radiating to his left arm. This is Peter's first presentation to hospital and he has no relevant past medical history. Peter smokes approximately 20-30 cigarettes per day and takes alcohol at weekends only. Peter is anxious and is concerned that his wife and children are informed. He also states his father died suddenly following a heart attack a number of years ago. Physical exam A middle age obese male, clutching to his chest and appears to be nervous and in pain. . Respiratory rate: 18 breaths per minute (normal 12-20 x/minute) . Blood pressure: 150/90 mmHg (normal: 120/80 mmHg) . Heart rate: 105 beats per minute (normal 60-100 x/minute) Lung: clear to auscultation. .Temperature: 37°C. (normal: 36.10-37.2Explanation / Answer
The patient experiencing severe chest pain radiating into left arm and was admitted to emergency room. The routine diagnosis includes examination of vital signs. The diagnosis at present scenario includes respiratory rate, blood pressure, heart rate , lungs and body temperature.
Since, the patient is suspected to suffering with heart attack due to priliminary examination of hear rate which is higher than normal rate, the patient further requires diagnoses by ECG (electro cardiogram) to check electric conductivity of heart. Any abnormality in ECG evident of malfunction of heart requires angiography and echocardiography. Angiography helps to examine blood vessels and arteries supplying the heart. Echocardiography is useful for scanning of heart activity using ultrasound waves.