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Asked by SehunSetter
A 58-year-old man comes to the Emergency Department complaining of substernal chest discomfort. He states that it has occurred early in the morning when he walks outside to get the newspaper and diminishes when he rests after about 5-10 minutes. He describes it as a dull ache in his midsternal area that doesn’t radiate anywhere but causes him to feel like he can’t catch his breath. He states that it began about five months ago and hasn’t changed in intensity or frequency, but he is concerned because his brother (age 52) recently “died of heart attacks.” He denies headaches, visual problems, cough, epigastric pain, or any known medical problems. He quit smoking 6 months ago but drinks an occasional beer or two with dinner. He works in a pizzeria and lives at home with his wife and four children, all of whom are healthy. His family history is also noted for hypertension and non-insulin-dependent diabetes in his brothers. His mother died of a stroke; his father died of a heart attack at age 82.
SCIENCE
HEALTH SCIENCE
NURSING
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