Pat Miller Dec 2022 Flashcards

1
Q

Name

A

Pat Miller

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2
Q

Spouse

A

Female

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3
Q

Job

A

High school culinary arts teacher

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4
Q

What brings you in?

A

I had this unusual pain in my chest. It’s got me worried so I wanted to get it checked out (no pointing)

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5
Q

Tell me more about that

A

It’s just really out of the ordinary and has me puzzled

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6
Q

When notice? How many?

A

First time about a month ago. Happened three times

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7
Q

What were you doing for each?

A

1st: heavy boxes from basement
2nd: 1 wk ago, cleaning out garage
3rd: yesterday carrying groceries car

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8
Q

Suddenly or gradually?

A

Builds gradually & goes away gradually

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9
Q

How long?

A

About 10 mins

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10
Q

Constant?

A

Yes

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11
Q

Anything make better?

A

Stopping & resting

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12
Q

Tried taking meds?

A

Tried Tums yesterday, not sure helped

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13
Q

Worse?

A

No

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14
Q

Describe the pain, where?

A

Diff to describe, kind of vague discomfort & tightness in chest. In the center (show if asked). Does not move

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15
Q

Scale of 1-10

A

About a 5

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16
Q

Noticed other symptoms?

A

Little sweaty & nauseous, haven’t thrown up

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17
Q

Shortness of breath?

A

During yesterday’s yes, thought it was from carrying groceries

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18
Q

Pain with inhaling?

A

No

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19
Q

Pain or swelling in legs?

A

No

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20
Q

Any chest pain now?

A

No

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21
Q

Cold/flu-like symptoms

A

Getting over chest cold I’ve had about a week, feel okay, just a cough. It’s dry. No mucous

22
Q

Recent travel

A

Wife & I, Traverse City vacation. Drove home 1 wk ago, 4 hr drive, half hour stop food

23
Q

Health conditions

A

High BP, monitoring cholesterol marginally high, don’t need meds

24
Q

When diagnosed high BP

A

About 8 yrs

25
Q

Monitor BP at home

A

No, see doctor regularly, hasn’t said it’s high

26
Q

When told cholesterol high?

A

About 3 yrs ago, trying to control with diet. Don’t recall the number

27
Q

Tested for diabetes

A

Yes, said it was fine

28
Q

History of blood clots, surgeries, been hospitalized?

A

No

29
Q

Last period?

A

Two weeks ago

30
Q

What medications?

A

Lice-in-oh-pril and hydro-cloro-thigh-uh-zide for my high BP

31
Q

Dosages?

A

Lice-in-oh-prill 20mg 1/day
Hydro-cloro-thigh-uh-zide 25mg 1/day
3 years despite 8 yrs high BP
Take in AM, no side effects

32
Q

Any other meds? OTC?

A

Tums for heartburn, Motrin aches & pains, daily multivitamin

33
Q

Heartburn

A

More than usual last month, usually 1/mth, but it’s been 1-2x/wk. Tums helps. Chest pain is different feeling

34
Q

Motrin

A

1-2x per month

35
Q

Allergies

A

Penicillin. Don’t explain unless asked. Told I had hives as baby. Haven’t had it since.

36
Q

Family history

A

Dad died 3 yrs ago from prostate cancer. Heart attack when 50
Mom healthy
No siblings, gparents natural causes
No diabetes or stroke

37
Q

Tobacco

A

Finally quit 6 mths ago, 25 yrs (was 18), 1-2 packs daily

38
Q

Alcohol

A

1-2 drinks weekly

39
Q

Sexually active

A

Yes, only wife

40
Q

Exercise

A

Trying, gym couple mths ago. Hesitant b/c of chest pain. Walking on treadmill

41
Q

Diet

A

Try healthier, avoid high fat. Still sometimes. Try fruit/veg every meal, lean protein, more whole grain

42
Q

Who lives with you?

A

Just my wife

43
Q

What do for work?

A

Teach culinary arts at Milan High School

44
Q

Major stressors?

A

No not really. Concerned about whatever is going on with this chest pain

45
Q

What do you like to do in free time?

A

Hanging out with our friends, painting, cooking, volunteer at humane society

46
Q

Do you have ideas about what’s causing?

A

I really don’t know. I just hope it’s nothing too serious

47
Q

What concerns you most?

A

It’s just scary to have pain and not know what is causing it

48
Q

What are your expectations for this visit?

A

I’m really hoping to get some answers

49
Q

How has this been affecting your daily life?

A

I’m hesitant to exercise because I don’t know if that will trigger it

50
Q

Do you have questions?

A

Not right now