Question

Chief Complaint (CC): A 60-year-old obese man presents to the emergency department complaining of severe pain in his lower jaw and shortness of breath that developed in the last hour.
History of Present Illness (HPI): The patient states that he smokes approximately 1 pack of cigarettes per day and has been doing this for over 40 years. He states that the pain is not sharp and is not relieved by rest or change in positions. He took Ibuprofen when the pain started, but the medication did not help. He also states that he has a "heavy feeling" in his chest.
Physical Examination (PE): Physical examination reveals tachycardia, hypertension, profuse diaphoresis, Vital Signs (VS): No Fever, Blood Pressure (BP)= 152/94, Pulse (P) = I 12. Respiratory Rate (RR) = 28.
Labs: EKG shows supraventricular tachycardia, increased Creatine Kinase (CK) level, normal CBC and Chemistry panel.

1. Name of the injury (diagnosis)
2. Description of the injury
3. Signs present in the patient's scenario
4. Symptoms present in the patient's scenario

Answer 1

The patient described is probably experiencing a heart attack, which, if not quickly remedied, could lead to the patient's death.

What does the patient have?

1. Name of the lesion (diagnosis)

myocardial infarction

2. Description of the injury

Myocardial infarction, or heart attack, is the death of cells in a region of the heart muscle due to the formation of a clot that stops blood flow.

3. Signs present in the patient's scenario

shortness of breath and heavy feeling" in the chest

4. Symptoms present in the patient's scenario

Increased Creatine Kinase (CK) Level.

With this information, we can conclude that the patient described is probably experiencing a heart attack, which, if not quickly remedied, could lead to the patient's death.

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