A 58-year old male presents with a complaint of severe chest pain over the past hour. He did not call 911 “because I don’t have the money for an ambulance.” For the case you have chosen, post in the discussion: Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed. In SOAP format, list: Pertinent positive and negative information Differential and working diagnosis Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit. Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas. S- Subjective ( what the patient says) O- Objective ( your assessment data) A- Assessment ( Your working and differential diagnosis) P- Plan (your next step-orders-education- USES Clincial Recommendations/References)
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