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Patient is a 55-year-old male with anterior wall chest pain with jaw pain. Thoracic aortic aneurysm, bronchitis, musculoskeletal chest pain, pericardial tamponade, pericarditis, pneumothorax, pulmonary embolism, ruptured aortic aneurysm, and thoracic dissection have been ruled out based on the above history and exam. Differential diagnoses still include acute myocardial infarction, CAD, myocarditis, and unstable angina. This patient requires further work up. I have discussed the case with Dr. Hospitalist and agree with admission and work up plan for further testing. We agree with proceeding with an echo before admission and requesting for Cardiology to consult. I have reviewed a previous EKG from one year ago and note there have been no changes from today’s EKG. I have requested patient’s previous records. Plan: Admit to inpatient floor for anterior wall chest pain with jaw pain. Place on continuous cardiac monitor. Repeat chest X-ray and CBC ordered for tomorrow morning. Cardiology will follow. After reviewing the case above determine the appropriate level of service and report below. E
SCIENCE
HEALTH SCIENCE
NURSING

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