Heart And Peripheral Vascular System

Thomas’ chief complaint was a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He also described the pain as a squeezing sensation around his heart. The medical term for this patient’s chief complaint is angina pectoris. Angina pectoris is the medical term for the chest pain or discomfort due to coronary heart disease.

There are also symptoms that involve the chest. These involve chest pain due to pleurisy, and irritation of the membranes lining the inside of the chest around the lungs, and pain due to pericarditis, and inflammation of the sack surrounding the heart. With both of these conditions there is difficulty in breathing, pain, shortness of breath, or a rapid heartbeat.

The physician was notified of the pain and discomfort related to the chest tube, which pain medication was given. Other notifications were the amount of drainage from both the chest tube and the JP. Both were under normal limits. SOB and fatigue with activities were also notified to the

Cardiac: Mrs. Elliot states she has experienced chest pain 5-6 times starting three weeks ago when she is Short of breath. The pain she said is on the left side of chest and describes is as sore and uncomfortable. Additionally, the patient has experienced palpitations the past few weeks and is positive for peripheral edema. Denies redness, cyanosis, jaundice, flushing.

Client complains of chest pain and shortness of breath (SOB). Client states that he was working with heavy stones and has a sedentary office jobs and sedentary life styles. Client has a medical history of asthma & GERD. Client also complains of indigestion and has not eaten much today. Beside this information, the nurse would ask the following questions to the client in order to complete the client history which would help to make nursing diagnosis: Where exactly is the pain? Does it radiate/ go anywhere? When did the pain start? Was the onset sudden or gradual? What are you doing when it started? What does your pain feel like- burning /stabbing/ aching/ squeezing/ cramping/ sharp/ itching/ shooting/ crushing etc.? How severe is the pain,

Mr. Steward was pain free until this morning. He initially complained of right-sided chest pain and then complained about pain in his hip and ankle. We recognized this was a new onset of pain that persisted, despite giving him some pain medication. When Mr. Steward was discovered in his room clutching his chest, we recognized this as a non-verbal sign of pain and asked him whether he was having chest pain. Although Mr. Steward doesn 't provide a definitive answer, he displayed non-verbal signs of pain, such as restlessness, frequent shifting in bed, and act of clutching his chest. Recognizing Mr.

Chest pain is posed as life threatening-has many definitions ranging from either stabbing, dull, crushing or burning. In certain cases, pain travels up the neck, the jaw, can radiate to the back or down one or both arms. Many different problems can cause chest pain and it can be difficult to determine the exact cause of chest pain (Burman et al’, 2011). Patients’ experiencing chest pain is symptoms consistent with, myocardial ischemia and is a common reason for presenting to ED (Pub Med Central, 2010).

On Tuesday August 30, 2016 a Male 63 years of age came into Christus Spohn South Heath Center with a diagnostic order for chest and rib x-rays. He was being seen because of chest pain on his right side due to a fall. He had an extensive patient history of x-rays that went as far back as 2014. For the year of 2016 he received approximately 12 different x-ray series. For example, on January 12, 2016 he received a chest 1 view image and cardiac catheterization. On May 21, 2016 he received a chest 1 view and a complete 4 view foot. On May 30, 2016 he received a cardiac catheterization. On June 1, 2016 and again on June 2, 2016 he received a chest 1 view. On June 10, 2016 he received a catheterization. On August 25, 2016 he received a chest 2 view. On August 26, 2006 an upper extremity without contrast. The patient also has a history of open heart surgery and receives dialysis treatments and is on oxygen.

Kim is a 53 year old woman who developed 6/10 (on a 0-10 pain scale) chest pain and shortness of breath in the airport after flying from Chicago, IL to Sioux Falls, SD. She was transported to the hospital by paramedics. She was alert and oriented with stable vital signs and oxygen saturation of 87%. Her electrocardiogram (EKG) showed normal sinus rhythm with no acute abnormalities; heart rate of 90. History included hypertension for 15 years, mild obesity, and hyperlipidemia. She has a 20-pack year history of smoking and no history of alcohol or illicit drug abuse.

Chest pain is a very common symptom, and around 20% to 40% of the general population will experience chest pain in their lives(149). In the UK, up to 2 % of visits to a general practitioner are due to new onset chest pain (150). Approximately 5% of visits to the emergency department are due to a complaint of chest pain, and up to 40% of emergency hospital admissions are the result of chest pain(149, 151). Approximately 52,000 new cases of angina per year are diagnosed in men and 43,000 in women. The incidence of angina increases with age(123).

Stable angina, also known as angina pectoris, is more commonly known as chest pain. As simple as it sounds, there are many underlying causes and complications that follow along with this condition. These chest pains are most often accompanied by strenuous activities or prolonged emotional stress. Angina is closely related to coronary artery disease. Coronary artery disease leaves the arteries narrowed and restricted, which limits the flow of blood tremendously. Poor blood flow to the heart means poor oxygenation. The muscles in the heart are then oxygen deprived, which is the pain that the patient feels. The pain most often occurs when the cardiac muscles actually need more oxygen at a higher demand than usual, and when the workload on the heart has been increased. There are many conditions that increase the need for more oxygen, such as hyperthyroidism and hypertension. More often than none, rest and/or nitrates usually relieve the pain. If the pain is continuous while resting, the diagnosis can be changed to unstable angina.

For handling pain in the chest, the doctor will prescribe a pain reliever. The drug generally prescribed are derived from nonsteroidal anti-inflammatory, one of this is ibuprofen.

Pre periods, chest pain caused is a fleeting chest pain. As it is a blood disorder so It can range to the arms, neck, jaw, and is often caused due to work out or remaining in stress for long times. This pain can be occurred if you are just lying on the bed and doing almost nothing. It also occurs in the starting days of having heavy periods. It is not dangerous, but needs proper rest while having periods.

Moderate or severe chest pain that may worsen upon breathing or swallowing following an episode of retching or vomiting

This essay will discuss a case of Mr P, 63 year old with chest pain his general appearance, general history, his physical examination, three diagnostics considerations and differential diagnoses for chest pain. It will further discuss diagnostic tests carried out, the results, final diagnoses and rationales for the decision.