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Pages:
1 page/≈275 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 5.18
Topic:

Pericarditis, Covid-19, Pneumonia, and Heart Attack

Coursework Instructions:

History
C.R., a 34-year-old man, came to your clinic with an episode of chest pain. He has a previous history of occasional stabbing chest pain for 2 years. The current pain had come on 4 hours earlier at 8 p.m. and has been persistent since then. It is central in position, with some radiation to both sides of the chest. It is not associated with shortness of breath or palpitations. The pain is relieved by sitting up and leaning forward. Two Tylenol tablets taken earlier at 9 p.m. did not make any difference to the pain.
The previous chest pain had been occasional, lasting a second or two at a time and with no particular precipitating factors. It has usually been on the left side of the chest although the position has varied.
Two weeks previously he had mild to moderate symptoms of COVID-19 which lasted 14 days. This consisted of a sore throat, low-grade fever, loss of taste and smell, and a cough. His wife and two children were ill at the same time with similar symptoms but have been well since then. He has a history of migraines. In the family history, his father had a myocardial infarction at the age of 51 years and was found to have a marginally high cholesterol level. His mother and two sisters, aged 36 and 38 years, are well. After his father's infarct, he had his lipids measured; the cholesterol was 5.1 mmol/L (desirable range < 5.5 mmol/L). He is a nonsmoker who drinks two 12-packs of beer per week.
Examination
His pulse rate is 75/min, blood pressure 124/78 mmHg. His temperature is 37.8C. There is nothing abnormal to find in the cardiovascular and respiratory systems. The ECG findings include diffuse concave-upward ST-segment elevation and, occasionally, PR-segment depression.

Coursework Sample Content Preview:

T16DQ2
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Introduction
To eliminate possible errors during treatment, making a differential diagnosis list would be the best approach for treating the correct disease. Based on the patient's information, the possible ailments in the differential diagnosis include pericarditis, Covid-19, pneumonia, and heart attack.
Pericarditis
Pericarditis mostly occurs due to irritation and swelling of the thin, pouch-shaped tissue surrounding the heart. The condition leads to sharp chest pain due to the rubbing of the pericardium layers against each other (Christensen & Kockrow, 2014). From the data, the patient experiences pain even after administering painkillers. The pain only goes away if they sit up and lean forward. By doing so, they feel it on the left side of the chest. The ECG findings also show PR-segment depression, mostly associated with acute pericarditis.
Covid-19
For the past two weeks, C.R exhibited symptoms associated with Covid-19, which also had prevailed among his family members, who later recovered. His body temperature is 37.8 C, indicating the presence of fever, one of the Covid-19 symptoms. Similarly, given that C.R's family memb...
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