History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Essential Immediate Steps
Test Result 1
Test Interpretation
Relevant Testing
Test Results 2
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
Question 4
About the Case
Chest Pain in a 62-yr-old Man
Past Medical History
Medical history
: Hypertension, gastroesophageal reflux disease (GERD).
Surgical history
: Left inguinal hernia repair at age 50.
Medications
: Chlorthalidone 25 mg once/day, lisinopril 10 mg once/day, omeprazole 20 mg prn, sildenafil prn.
Allergies
: No known drug allergies.
Family history
: Father had myocardial infarction (MI) at age 43. Mother has hypertension and type 2 diabetes. No family history of sudden cardiac death.
Social history
: Patient is married and works as an accountant. He does not participate in any formal exercise routine. Patient has smoked cigarettes for 25 yr; currently, he smokes 1 pack/day. He drinks 4 to 5 beers/wk. No illicit drug use.
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