Question

Mr. Thomas is a 62-year-old man who has been diagnosed with an acute myocardial infarction with the following symptoms and history. His chief complaint is a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He describes the pain, which he has had for the past 12 hours, as a squeezing sensation around his heart. He also reports nausea and dyspnea. He has a low-grade temperature, and his blood pressure is within a normal range at 130/82. He states that he smokes two packs of cigarettes a day, is overweight by 50 pounds, and has a family history of hypertension and coronary heart disease. He leads a relatively sedentary life style

1.What is the common name for Mr. Thomas’scondition? Look this condition up in areference source and include a short description of it.

2. What does the phrase "chief complaint" mean?

3. What is the medical term for this patients chief complaint? Define

4. List and define each of the patients additonal symptoms

5. Name and describe three diagnostic tests that may be performed to determine the extent of the patients heart damage

6. What risk factors for developing heart disease does Mr Thomas have? what changed should he make?

Answer 1

1. What is the common name for Mr. Thomas’scondition? Look this condition up in areference source and include a short description of it.

The common name of patient disease condition is HEART ATTACK.

Heart attack: It is a condition where blood suuply to the heart or part of it diminishes or stopped causes the heart mucles to die because of deprieve of oxygen

2. What does the phrase "chief complaint" mean?

This mean presenting complaints or main problems patient is experiencing.

3. What is the medical term for this patients chief complaint? Define

Chief complaints are also called signs and symptoms patient is showing:

Signs: Objective signs which are measurable like Blood pressure, Temperatue, pulse, respiration etc,

Symptoms: Problems which the  patient tells/ express in his own words

4. List and define each of the patients additonal symptoms:

Additional Symptoms which the patient is experiencing along with chief complaints

Nausea: Feeling of vomiting

Dyspnea: Difficulty in breathing

Low-grade temperature: Mild fever less than 100 degree F

Blood pressure which is normal 130/82mmHg

5. Name and describe three diagnostic tests that may be performed to determine the extent of the patients heart damage

1. Cardiac Markers: They are enzymes or proteins that leak out during the heart damage

Creatining kinase and cardiac Troponin T and I : They are specific for myocardial injury, which are released after 4-6 hours of arrest and remain elevated for 2 weeks.

12 Lead Electro cardio graphy: To determine which segment of heart affected in myocardial infarction, Whether ST segment elevation , ST segment depression or normal ECG

Cardiac Angiography: A catheter is inserted into femoral artery and advanced to the heart with introduction of dye  to know the which all arteries are blocked.

6. What risk factors for developing heart disease does Mr Thomas have? what changed should he make?

Risk factors include Smoking, overweight, family history of hypertension and sedentary life style

Life style modification measures:

1. Weight reduction by doing exercises, yoga, walk etc.
2. Healthy eating habits such as more vegetables and fruits
3. Avoidance of junk foods
4. More active life style
5. Be physically active
6. Maintain the hydration status of body
7. Low intake of salt
8. Quitting of smoking habit