A 66-year old woman complains of shortness of breath, numbness, and heaviness of her arms when walking up the hill to her house. The pain subsides when she stops to rest. In a soap format, Discuss questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
*Questions asked to the patient. _About Family History of CAD, Hypertension,and other Heart Disease. _Personal health history including Exercise habbits, Diet,and Stress level. _About Characteristics of symptoms including location, duration,and Nature. _About Past Medical History. *Elements of Physical Examination. _ Blood pressure monitoring. _Observe for Xanthomas under the Skin. _ Assessment of Blood circulation by Skin colour, Feeling of Pulses in every Location. _Fundoscopic examination to Assess Retinal blood vessels change. _Observe For Neck Vessels, Oedematous neck vein is a Sign of Heart Failure. _Auscultate the Carotid arteries in the Neck for blood flow sounds. _Auscultate the Heart for Murmur,Lungs for Wheezing and crackles. _Observe the leg for Edema. *Further Testing. _complete Blood Count,TFT,Urea, Electrolyte,and Lipid profile. _ECG, ECHO,TMT, Chest X Ray
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