For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. 

Chief complain: A 75-year-old female reports experiencing pain in her chest while walking up steps today.

Subjetive: Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.

VS: BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%

General: obese female, alert, in no acute distress.

HEENTAtraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries. 

Respiratorio: CTA AP&L

Neck: carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy

Heart: S1 and S2 normal without murmur, gallop, or rub

Once you received your case number, answer the following questions:

1. What other subjective data would you obtain?

2. What other objective findings would you look for?

3. What diagnostic exams do you want to order?

4. Name 3 differential diagnoses based on this patient presenting symptoms?

5. Give rationales for your each differential diagnosis.


Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources.