Shadow Health- Brian Foster- Focused
Exam: Chest Pain
Established chief complaint - Reports chest pain
Asked about onset and duration of chest pain - Reports chest pain started about five
minutes ago
Reports chest pain has been constant since it began
Reports sitting in bed when pain began
Asked to rate chest pain on a scale - Reports current pain is 6/10
Asked about on characteristics of the pain - Describes pain as tight and uncomfortable
Denies crushing pain
Denies gnawing or tearing pain
Denies burning pain
Asked about location of the pain - Reports pain location is in middle of the chest
Reports slight pain in left shoulder
Denies arm pain
Denies back pain
Denies jaw pain
Denies neck pain
Asked about pain triggers - Reports pain is aggravated by movement
Asked about stress and anxiety - Reports generally low stress lifestyle
Denies history of anxiety
Denies history of panic attacks
Asked relevant health history - Reports high blood pressure
Reports high cholesterol
Denies history of pulmonary embolism
Denies history of angina
Denies history of rheumatic fever
Denies history of heart murmur
Followed up on high blood pressure treatment - Reports taking high blood pressure
medication
Reports high blood pressure medication is Lisinopril
High blood pressure medication dose is 20mg
High blood pressure medication is taken once daily
Exam: Chest Pain
Established chief complaint - Reports chest pain
Asked about onset and duration of chest pain - Reports chest pain started about five
minutes ago
Reports chest pain has been constant since it began
Reports sitting in bed when pain began
Asked to rate chest pain on a scale - Reports current pain is 6/10
Asked about on characteristics of the pain - Describes pain as tight and uncomfortable
Denies crushing pain
Denies gnawing or tearing pain
Denies burning pain
Asked about location of the pain - Reports pain location is in middle of the chest
Reports slight pain in left shoulder
Denies arm pain
Denies back pain
Denies jaw pain
Denies neck pain
Asked about pain triggers - Reports pain is aggravated by movement
Asked about stress and anxiety - Reports generally low stress lifestyle
Denies history of anxiety
Denies history of panic attacks
Asked relevant health history - Reports high blood pressure
Reports high cholesterol
Denies history of pulmonary embolism
Denies history of angina
Denies history of rheumatic fever
Denies history of heart murmur
Followed up on high blood pressure treatment - Reports taking high blood pressure
medication
Reports high blood pressure medication is Lisinopril
High blood pressure medication dose is 20mg
High blood pressure medication is taken once daily
