Essay Example on Woman With Chest Pains Seeks Medical Care: Physical Exam Results

Introduction

A woman of around 55 years came to seek medical attention because she was experiencing chest pains that had lasted for 24 hours. She was aware of having hypertension and acknowledged being a smoker. She suffered severe pains in the chest, therefore, seeking emergency medical care due to pain persistence. In a physical examination dated July 2015, 9mm, she is recorded to have been having a heart rate of 92 BPM and 110/ 70 mmHg (Antman et al., 2005). The lung examination in Harry Potter indicated alliteration, and a proper assessment of a heart indicated Amaya cardiac murmur at the lower right sternal border. The woman also went for an electrocardiogram on August 30th, 2015, that should have had an HR of 102 bpm and an atrioventricular off pr240 MS. by the time he was being admitted, he had received intravenous norepinephrine.

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The most common symptoms of the cardiovascular condition include:

Chest Pains

Chest pains are an essential thing to me that shows a patient has the disease; however, sometimes, it may be hard to evaluate. The location of the pain mostly comes from the front of the chest but also manifests from the neck upper abdomen Joe inside the shoulder and left arm. The chest pain may spread to the back the knack, the left or the right underarm, or the jaw. This kind of chest pain is always tight and crashing (Nordendahl et al., 2017). And in most cases, patients are waiting to confuse the angina pain to ingestion.

Breathlessness

Cardiovascular diseases come with severe pulmonary edema, pericarditis, arrhythmia pericardial effusion. Also, this breathlessness comes with dysphonia on exertion. Periodic breathing even may your car when one is asleep, which may be in chronic pulmonary.

Palpitation

The brain usually does not mean any danger of cardiac essence but represent cardiac arrhythmia; they include throbbing thumping and pumping (Antman et al., 2005). Experiencing I'm stupid in most cases is a sign of academic illnesses also the heartbeat of a person with a cardiovascular disease my house paroxysmal tachycardia and irregularities of palpitations which may come in forms of feeling faint dyspnoea and pain.

The history of Myocardial infarction

Myocardial infarction medical history another inquiry about the patient having ever raised blood pressure, fainting, dizziness, heart problems, or if the patient has ever collapsed. Who is essential to check in the patient has ever had a heart attack before or angina or any other cardiac operation include the day when the operation took place if any? Also, ask the patient if he has ever been checked on the levels of lipid end if he has a history of heart problems or rheumatic fever since childhood. It will also be essential to note any illness or operations mostly relating to the heart, such as hyperlipidemia hypertension, diabetes, and stroke. Enquire about the history of the family. If they have an account from a family member with the disease, the lifestyle of the patient is essential to check for habits such as smoking obesity diet, the occupation of the patient, and also the stress levels.

Examination for Myocardial Infarction

When you suspect that the patient may be having a myocardial infarction, check for the patient difficulty in talking shortness of breath and also take note of when the patient became sick. Also, look for the symptoms of jaundice, pallor, clamminess xanthelasma. Wilson checks for any evidence of any syndrome associated with myocardial infarction and abnormalities, including Marfan syndrome, Down syndrome, Down's syndrome, and Turner syndrome. Check for cyanosis, which includes checking under the fingernails and toenails, ears, ch cheeks, nose, and lips (Antman et al., 2005). Cyanosis gossip when there is cold and when exerted. Because cyanosis is dependent on Duke's related hemoglobin and not the ratio of the oxygenated, cyanosis will come out very late, maybe due to their low blood count. If a patient has a dark screen, then the best way to see cyanosis is by checking the lining of the inner eyelids or inner lips. On the face, examine malar flush, which includes being red on cheeks.also you will be required to check for xanthomata, which is deposits of lipid in palms or around the eyes. Also, if there is corneal arcus around the cornea (Kontsevaya et al., 2018). It will also be essential to examine proptosis, which is a forward projection of the eyeball or in his placement.

On the other hand, check for finger clubbing Janeway lesions, splinter hemorrhages, sweaty Palms or tremors, visible pulsations of the capillary, and sweaty palms. Check the Pulse rate, rhythm, character, peripheral pulses, inequality of pulses. It will also be essential to check the blood pressure through measuring the branch of the artery by use of upper arm cuff. In obese people used large cars, and if the patient has chest pain, then measure the pressure in both the two arms to check for aortic dissection. For chest examination, check if the chest wall is deformed, check for respiratory rate, Observe the trachea and palpate the patient to check for d deviation. Lastly, feel around the anterior chest wall for any signs of drills related to cardiac murmurs. Examine the patient, do investigations, blood tests, exercise ECG testing, CXR, spirometry, cardiac catheterization echocardiography, and angiography.

Possible Treatment of Myocardial Infarction

Myocardial infarction is a health condition that requires immediate attention from the doctor. A minor procedure that is angioplasty will be opted to first and block the other reason wood suppliers blood to the heart, 'which will be through the insertion of a catheter to reach the blockage.

Another possible procedure is a coronary artery bypass graft CABG includes the surgeon resulting in your arteries and the veins to enable blood flow around the blockage. Various medications I used for heart attack treatment, and they include blood thinner; that is an aspirin to eliminate blood clots and initiate blood flow through the other is that has now been narrowed (Kontsevaya et al., 2018). Also, thrombolytics can be used to dissolve the clot. Beta antiplatelet drugs can be administered to deter new blood clots from emerging And the existing blood clots from growing. Beta-blockers can also be used to lower blood pressure and make the heart muscle relaxed. Are administered to reduce the blood pressure and relieve stress on the heart, and lastly, use of painkillers such as intravenous diamorphine 2.5 to 5 to eliminate any discomfort a patient may be having.

Prognosis

Myocardial infarction has a very high mortality rate of 30%, while approximately 50% of the patients die before getting to the health facility (Antman et al., 2005). 5% to 10% of those who survive also die the same year as the disease was diagnosed (Antman et al., 2005). Half of the total patients diagnosed with the disease are admitted again in the hospital within the same year. The overall death rate varies mainly depending on the extent of the impact of the revascularization the patient went through and, lastly, if residue remained during the ventricular function.

References

Antman, E. M., Morrow, D. A., McCabe, C. H., Jiang, F., White, H. D., Fox, K. A., ... & Extract-TIMI 25 Investigators. (2005). Enoxaparin versus unfractionated heparin as antithrombin therapy in patients receiving fibrinolysis for ST-elevation myocardial infarction. Design and rationale for the Enoxaparin and Thrombolysis Reperfusion for Acute Myocardial Infarction Treatment-Thrombolysis in Myocardial Infarction study 25 (ExTRACTTIMI25). American heart journal, 149(2), 217.https://www.ncbi.nlm.nih.gov/pubmed/15846258

Kontsevaya, A. V., Bates, K., Goryachkin, E. A., Bobrova, N., Syromiatnikova, L. I., Popova, Y. V., ... & Mirolyubova, O. A. (2018). Hospital stage of myocardial infarction treatment in 13 regions of the Russian Federation by results of international research. https://munin.uit.no/handle/10037/15270

Nordendahl, E. N., Svensson, T. S., Norhammar, A. N., Kjellstrom, B. K., Ekbom, A. E., Fored, M. F., & Gustafsson, A. G. (2017). P4437Is oral intensive treatment a potential risk factor for myocardial infarction? European Heart Journal, 38(suppl_1). https://academic.oup.com/eurheartj/article/38/suppl_1/ehx504.P4437/4090480