Question

You have been assigned to care for Mr. Z, a 50-year-old patient who is 6 feet, 1 inch tall and weighs 101 kg. His vital signs are BP 192/98, HR 94, RR 18. He was admitted to the hospital with angina. He has a pack-year history of 60 and has smoked two packs per day for the past 30 years. His laboratory test results reveal an elevated cholesterol level (260). His high-density lipoproteins (HDLs) are low, and his low-density lipoproteins (LDLs) are high. The patient states that he was laid off from his job as a token collector at a state roadway tool booth. He lives alone, eats mostly fast food, and does not exercise regularly. He has been placed on a therapeutic regimen to treat his angina.

1. When Mr. Z presented to the emergency department with chest pain, what symptoms, clinical manifestations, diagnostic results, and lab results (not mentioned above) led to his being admitted rather than sent home?

Answer 1

Symptoms/clinical manifestation

• Pain in chest radiating to left arm, scapula, jaw,neck
• Indigestion
• Nausea
• Dizziness
• Breathing difficulties
• Syncope
• Blackout
• Tachycardia
• Tachypnea
• Fatigue
• Perspiration

Diagnostic results

• Changes in ECG like ST depression, elevated T wave
• Chest X ray can detect problems associated with lungs
• CT angiography can detect clots
• Echocardiogram can reveals the decrease level if bloodflow

Lab

• Increased LDL,Cholesterol, triglycerides
• Decreased HDL
• Elevate Trop T levels

The above results will definitely make a patient to be admitted for getting appropriate treatment.

• Elevate Trop I levels