Shadow Health- Brian Foster- Focused Exam: Chest Pain

Reports chest pain

Reports chest pain started about five minutes ago Reports chest pain has been constant since it began Reports sitting in bed when pain began

Reports current pain is 6/10

Describes pain as tight and uncomfortable Denies crushing pain Denies gnawing or tearing pain Denies burning pain

Reports pain location is in middle of the chest Reports slight pain in left shoulder Denies arm pain Denies back pain Denies jaw pain Denies neck pain

Reports pain is aggravated by movement

Reports generally low stress lifestyle Denies history of anxiety Denies history of panic attacks

Reports high blood pressure Reports high cholesterol Denies history of pulmonary embolism Denies history of angina Denies history of rheumatic fever Denies history of heart murmur

Reports taking high blood pressure medication Reports high blood pressure medication is Lisinopril High blood pressure medication dose is 20mg High blood pressure medication is taken once daily

Reports taking high cholesterol medication Reports high cholesterol medication is Atorvastatin (Lipitor) Reports high cholesterol medication dose is 20mg Reports high cholesterol medication is taken once daily

Reports recent EKG test Reports annual stress test

Reports belief that EKG was normal Reports belief that stress test was normal

Denies illicit drug use Denies tobacco use Reports moderate alcohol consumption

Reports drinking only on weekends Reports drinking 2-4 alcoholic drinks per week Reports 2-3 drinks in a single sitting

Denies having a regular exercise routine

Reports most recent meal was previous night at 8 p.m Reports meal consisted of buffalo wings

Reports typical breakfast is granola bar and instant breakfast shake Reports typical lunch is turkey sub Reports typical dinner is grilled meat and vegetables Denies moderating salt intake

Denies palpitations Denies swelling Denies circulation problems Denies blood clots Denies easy bleeding Denies easy bruising

Denies fever Denies chills Denies fatigue Denies sleep issues Denies recent weight changes Denies night sweats Denies dizziness or lightheadedness

Denies cough Denies shortness of breath while lying down Denies blue skin

Denies sore throat Denies difficulty swallowing

Denies diarrhea Denies constipation Denies flatus Denies bloating Denies heartburn or GERD Reports earlier nausea Denies vomiting

Reports family history of heart attack Denies family history of stroke Denies family history of pulmonary embolism