ShadowHealth Cardiovascular ALL SOLUTION 100% CORRECT LATEST EDITION
SPRING FALL-2022 GUARANTEED GRADE A+
Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic
with complaints of 3-4 episodes of rapid heart rate over the last month. She is a good
historian. She describes these episodes as “thumping in her chest” with a heart rate
that is “way faster than usual”. She does not associate the rapid heart rate with a
specific event, but notes that they usually occur about once per week in the morning on
her commute to class. The episodes generally last between 5 and 10 minutes and
resolve spontaneously. She does not know her normal heart rate or her heart rate during
these episodes. She denies chest pain during the episodes, but does endorse discomfort
of 3/10 which she attributes to associated anxiety regarding her rapid heart rate. She
denies shortness of breath. She denies any association of symptoms with exertion. She
has no known cardiac history and has never had episodes prior to this last month. She
has not attempted any treatment at home and states that she is only coming to the
clinic today because her family has expressed concern regarding these episodes. Social
History: Ms. Jones has a job at a copy and shipping store and is a student at Shadowville
Community College. She states that she has been feeling more “stressed” lately due to
her school and work. She has been feeling tired at the end of the day. She denies any
specific changes in her diet recently, but notes that she has not been drinking as much
water as her normal. Breakfast is usually a muffin or pumpkin bread, lunch is a
sandwich, dinner is a homemade meal of a meat and vegetable, snacks are French fries
or pretzels. Over the past month she has increased her consumption of diet soda and
“energy” drinks due to her feelings of tiredness. She generally drinks 2 energy drinks
before class to “keep her focused” but states that they also make her “jittery”. She
denies use of tobacco, alcohol, and illicit drugs. She does not exercise. Review of
Systems: General: Denies changes in weight, but complains of end of day fatigue. She
denies fevers, chills, and night sweats. She complains of intermittent dizziness. •
Cardiac: Denies a diagnosis of hypertension, but states that she has been told her blood
pressure was high in the past. She checks it at CVS periodically. At last check it was
“140/80 or 90”. She denies known history of murmurs, angina, previous palpitations,
dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. She has
never had an EKG. • Respiratory: She denies shortness of breath, wheezing, cough,
sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. She has a
history of asthma, last hospitalization was age 16 for asthma, last chest XR was age 16.
• Hematologic: She denies history of anemia, easy bruising or bleeding, petechiae,
purpura, or blood transfusions.
OBJECTIVE
• General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no
acute distress. She is alert and oriented. She maintains eye contact throughout
interview and examination. • Cardiovascular: PMI is non-displaced, brisk and tapping,
diameter 2 cm. Regular rate and rhythm, S1 and S2 present, no murmurs, rubs, gallops,
clinics, precordial movements. Pulses 2+ and equal bilaterally in upper extremities and
lower extremities without thrills. No temporal, carotid, abdominal aorta, femoral, iliac, or
renal bruits. No JVD. Capillary refill < 3 seconds. No peripheral edema. EKG with regular
sinus rhythm, no ST changes. ABI is 0.97. • Respiratory: Chest is symmetrical with
respirations; no physical abnormalities present on chest wall. Lung sounds clear to
SPRING FALL-2022 GUARANTEED GRADE A+
Ms. Jones is a pleasant 28-year-old African American woman who presented to the clinic
with complaints of 3-4 episodes of rapid heart rate over the last month. She is a good
historian. She describes these episodes as “thumping in her chest” with a heart rate
that is “way faster than usual”. She does not associate the rapid heart rate with a
specific event, but notes that they usually occur about once per week in the morning on
her commute to class. The episodes generally last between 5 and 10 minutes and
resolve spontaneously. She does not know her normal heart rate or her heart rate during
these episodes. She denies chest pain during the episodes, but does endorse discomfort
of 3/10 which she attributes to associated anxiety regarding her rapid heart rate. She
denies shortness of breath. She denies any association of symptoms with exertion. She
has no known cardiac history and has never had episodes prior to this last month. She
has not attempted any treatment at home and states that she is only coming to the
clinic today because her family has expressed concern regarding these episodes. Social
History: Ms. Jones has a job at a copy and shipping store and is a student at Shadowville
Community College. She states that she has been feeling more “stressed” lately due to
her school and work. She has been feeling tired at the end of the day. She denies any
specific changes in her diet recently, but notes that she has not been drinking as much
water as her normal. Breakfast is usually a muffin or pumpkin bread, lunch is a
sandwich, dinner is a homemade meal of a meat and vegetable, snacks are French fries
or pretzels. Over the past month she has increased her consumption of diet soda and
“energy” drinks due to her feelings of tiredness. She generally drinks 2 energy drinks
before class to “keep her focused” but states that they also make her “jittery”. She
denies use of tobacco, alcohol, and illicit drugs. She does not exercise. Review of
Systems: General: Denies changes in weight, but complains of end of day fatigue. She
denies fevers, chills, and night sweats. She complains of intermittent dizziness. •
Cardiac: Denies a diagnosis of hypertension, but states that she has been told her blood
pressure was high in the past. She checks it at CVS periodically. At last check it was
“140/80 or 90”. She denies known history of murmurs, angina, previous palpitations,
dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, or edema. She has
never had an EKG. • Respiratory: She denies shortness of breath, wheezing, cough,
sputum, hemoptysis, pneumonia, bronchitis, emphysema, tuberculosis. She has a
history of asthma, last hospitalization was age 16 for asthma, last chest XR was age 16.
• Hematologic: She denies history of anemia, easy bruising or bleeding, petechiae,
purpura, or blood transfusions.
OBJECTIVE
• General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no
acute distress. She is alert and oriented. She maintains eye contact throughout
interview and examination. • Cardiovascular: PMI is non-displaced, brisk and tapping,
diameter 2 cm. Regular rate and rhythm, S1 and S2 present, no murmurs, rubs, gallops,
clinics, precordial movements. Pulses 2+ and equal bilaterally in upper extremities and
lower extremities without thrills. No temporal, carotid, abdominal aorta, femoral, iliac, or
renal bruits. No JVD. Capillary refill < 3 seconds. No peripheral edema. EKG with regular
sinus rhythm, no ST changes. ABI is 0.97. • Respiratory: Chest is symmetrical with
respirations; no physical abnormalities present on chest wall. Lung sounds clear to
