I HUMAN WEEK 4 NURS 6512 2026 MEI YANG 69 YEAR
OLD PRESENTING WITH CHEST PAIN AT OUTPATIENT
CLINIC UTILIZING SYSTEMATIC HISTORY-DRIVEN
DIAGNOSTIC REASONING, DETAILED PHYSICAL
EXAMINATION, DIFFERENTIAL DIAGNOSES, AND
EVIDENCE-BASED MANAGEMENT
,PATIENT INFORMATION
Name: Mei Yang
Age: 69 years
Sex: Female
Height: 5′3″ (160 cm)
Weight: 167.0 lb (75.9 kg)
Location: Outpatient clinic with x-ray, ECG, and laboratory capabilities
Reason for Encounter: Chest pain
Mei Yang is a 69-year-old female presenting to the outpatient clinic with
complaints of chest pain of recent onset. She reports exertional discomfort that
has become concerning, prompting evaluation, risk stratification, and diagnostic
work-up.
, REASON FOR ENCOUNTER
Mei Yang presents with chest pain that has been intermittently occurring for
the past several days, described as pressure-like and worsening with physical
activity. The objective of this visit is to evaluate the chest pain, assess cardiac
risk, perform diagnostic investigations including cardiovascular and pulmonary
evaluation, and develop an appropriate management plan.
Component Description
Encounter type Outpatient clinic visit
Chief complaint Chest pain
Duration Several days (intermittent episodes)
Location Central chest region
Radiation May radiate to left arm or jaw during some episodes
Characteristics Pressure-like, exertional, may be moderate to severe
Aggravating
Physical exertion, stairs, prolonged activity
factors
Relieving factors Rest
Associated
Mild shortness of breath, fatigue
symptoms
Systemic concerns No fever, no syncope, no palpitations
Determine cause, rule out acute coronary syndrome,
Patient goals
receive appropriate treatment
OLD PRESENTING WITH CHEST PAIN AT OUTPATIENT
CLINIC UTILIZING SYSTEMATIC HISTORY-DRIVEN
DIAGNOSTIC REASONING, DETAILED PHYSICAL
EXAMINATION, DIFFERENTIAL DIAGNOSES, AND
EVIDENCE-BASED MANAGEMENT
,PATIENT INFORMATION
Name: Mei Yang
Age: 69 years
Sex: Female
Height: 5′3″ (160 cm)
Weight: 167.0 lb (75.9 kg)
Location: Outpatient clinic with x-ray, ECG, and laboratory capabilities
Reason for Encounter: Chest pain
Mei Yang is a 69-year-old female presenting to the outpatient clinic with
complaints of chest pain of recent onset. She reports exertional discomfort that
has become concerning, prompting evaluation, risk stratification, and diagnostic
work-up.
, REASON FOR ENCOUNTER
Mei Yang presents with chest pain that has been intermittently occurring for
the past several days, described as pressure-like and worsening with physical
activity. The objective of this visit is to evaluate the chest pain, assess cardiac
risk, perform diagnostic investigations including cardiovascular and pulmonary
evaluation, and develop an appropriate management plan.
Component Description
Encounter type Outpatient clinic visit
Chief complaint Chest pain
Duration Several days (intermittent episodes)
Location Central chest region
Radiation May radiate to left arm or jaw during some episodes
Characteristics Pressure-like, exertional, may be moderate to severe
Aggravating
Physical exertion, stairs, prolonged activity
factors
Relieving factors Rest
Associated
Mild shortness of breath, fatigue
symptoms
Systemic concerns No fever, no syncope, no palpitations
Determine cause, rule out acute coronary syndrome,
Patient goals
receive appropriate treatment
