iHUMAN Case Study Vijay Rao: Comprehensive for Chest Pain
and Stable Angina in a 58-Year-Old Male | Expert Nursing
Assessment
Detailed iHUMAN case study analysis of Vijay Rao, a 58-year-old male presenting with chest discomfort and
shortness of breath. Includes an expert-level, differential diagnoses, diagnostic interpretation, evidence-based
treatment plan, cardiology referral, and clinical reasoning aligned with nursing education standards.
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• iHUMAN case study Vijay Rao
• Vijay Rao chest pain
• Stable angina iHUMAN case
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Patient Information
Name: Vijay Rao
Age: 58 years
Sex: Male
Ethnicity: Asian Indian
Source of History: Patient (reliable)
Setting: Primary Care / Urgent Care
Chief Complaint (CC):
“I have chest discomfort and shortness of breath.”
S – Subjective
,History of Present Illness (HPI):
Vijay Rao is a 58-year-old male who presents with intermittent chest discomfort for the past 3 days. He describes
the discomfort as a pressure-like sensation located in the mid-sternal area, rated 6/10, lasting approximately 10–
15 minutes per episode. The pain occurs mostly with exertion such as climbing stairs and improves with rest.
He reports associated shortness of breath and mild diaphoresis during episodes. He denies radiation of pain to the
jaw or arm, nausea, vomiting, syncope, palpitations, or fever. He has not experienced similar symptoms in the past.
Associated Symptoms
• Shortness of breath with exertion
• Mild sweating
Denies
• Nausea or vomiting
• Dizziness or syncope
• Palpitations
• Fever or cough
Past Medical History (PMH):
• Hypertension
• Type 2 diabetes mellitus
• Hyperlipidemia
Past Surgical History (PSH):
• None reported
Current Medications:
• Metformin 1000 mg PO BID
• Lisinopril 20 mg PO daily
• Atorvastatin 40 mg PO nightly
, Allergies:
• NKDA
Family History:
• Father: Myocardial infarction at age 62
• Mother: Type 2 diabetes
• No family history of sudden cardiac death
Social History:
• Married, lives with spouse
• Occupation: Accountant
• Tobacco: Former smoker (quit 5 years ago; 20 pack-years)
• Alcohol: Occasional
• Illicit drugs: Denies
• Diet: High in carbohydrates
• Exercise: Sedentary
Review of Systems (ROS):
• General: No fever, no weight loss
• Cardiac: Chest discomfort, no palpitations
• Respiratory: Exertional dyspnea
• GI: No nausea or reflux
• Neuro: No dizziness or weakness
• Psych: Mild anxiety related to symptoms
O – Objective
Vital Signs:
• BP: 148/88 mmHg
• HR: 84 bpm
• RR: 18 breaths/min
• Temp: 98.7°F (37.1°C)
• SpO₂: 97% on room air
and Stable Angina in a 58-Year-Old Male | Expert Nursing
Assessment
Detailed iHUMAN case study analysis of Vijay Rao, a 58-year-old male presenting with chest discomfort and
shortness of breath. Includes an expert-level, differential diagnoses, diagnostic interpretation, evidence-based
treatment plan, cardiology referral, and clinical reasoning aligned with nursing education standards.
SEO Keywords
• iHUMAN case study Vijay Rao
• Vijay Rao chest pain
• Stable angina iHUMAN case
• Cardiovascular example
• Nursing student iHUMAN chest pain
Patient Information
Name: Vijay Rao
Age: 58 years
Sex: Male
Ethnicity: Asian Indian
Source of History: Patient (reliable)
Setting: Primary Care / Urgent Care
Chief Complaint (CC):
“I have chest discomfort and shortness of breath.”
S – Subjective
,History of Present Illness (HPI):
Vijay Rao is a 58-year-old male who presents with intermittent chest discomfort for the past 3 days. He describes
the discomfort as a pressure-like sensation located in the mid-sternal area, rated 6/10, lasting approximately 10–
15 minutes per episode. The pain occurs mostly with exertion such as climbing stairs and improves with rest.
He reports associated shortness of breath and mild diaphoresis during episodes. He denies radiation of pain to the
jaw or arm, nausea, vomiting, syncope, palpitations, or fever. He has not experienced similar symptoms in the past.
Associated Symptoms
• Shortness of breath with exertion
• Mild sweating
Denies
• Nausea or vomiting
• Dizziness or syncope
• Palpitations
• Fever or cough
Past Medical History (PMH):
• Hypertension
• Type 2 diabetes mellitus
• Hyperlipidemia
Past Surgical History (PSH):
• None reported
Current Medications:
• Metformin 1000 mg PO BID
• Lisinopril 20 mg PO daily
• Atorvastatin 40 mg PO nightly
, Allergies:
• NKDA
Family History:
• Father: Myocardial infarction at age 62
• Mother: Type 2 diabetes
• No family history of sudden cardiac death
Social History:
• Married, lives with spouse
• Occupation: Accountant
• Tobacco: Former smoker (quit 5 years ago; 20 pack-years)
• Alcohol: Occasional
• Illicit drugs: Denies
• Diet: High in carbohydrates
• Exercise: Sedentary
Review of Systems (ROS):
• General: No fever, no weight loss
• Cardiac: Chest discomfort, no palpitations
• Respiratory: Exertional dyspnea
• GI: No nausea or reflux
• Neuro: No dizziness or weakness
• Psych: Mild anxiety related to symptoms
O – Objective
Vital Signs:
• BP: 148/88 mmHg
• HR: 84 bpm
• RR: 18 breaths/min
• Temp: 98.7°F (37.1°C)
• SpO₂: 97% on room air
