QUESTION: Based on the Pt\'s history and vitals, can you please Give me Three po
ID: 269763 • Letter: Q
Question
QUESTION: Based on the Pt's history and vitals, can you please Give me Three possible diagnoses?
And what are the pathophysiology of each of the differential diagnoses?
Lastly, suggestion of what extra laboratory/diagnostic tests needed to come to a more definite diagnosis for this patient?
THANK YOU!!!!!
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
1.
This person is seems to be have heart attack, deep vein thrombosis or tachycardia.
2.
Hypertension or insufficient blood flow in the body is the main cause of heart failure.
The blood clot formation in deep vein is the main cause of DVT.
High blood pressure and poor blood supply to the heart muscles is the cause of tachycardia.
3.
A test to check the cholesterol level and an ECG is very necessary.