Southern New Hampshire University

MILESTONE ONE 2 Introduction An abundance of changes occur at the cellular level in patients who smoke cigarettes. Some of the cell processes that are effected by cigarette smoke include: induces mucous secretion, inhibits cystic fibrosis transmembrane conductance regulator function, endoplasmic reticulum stress, unfolded protein response, altered ceramide metabolism and apoptosis (Cantin, 2010). These cellular changes can lead to a variety of symptoms and disease within the lungs such as...

Diagnostic Testing Patients experiencing the signs, symptoms and testing results that Ms. Sunshine presents with are diagnosed with a myocardial infarction. First, she had chest pain prior to leaving for Boston, and then was experiencing shortness of breath. The chest pain and shortness of breath she was experiencing is all related to ischemia of the heart. Without oxygen to maintain normal processes the cardiac cells first attempt to switch to anaerobic cell processes, but after a period o...

Southern New Hampshire University PATHOPHYSI 601 Milestone Two spring 2023

SOAP Note- Ms. Sunshine Subjective Chief Complaint: Patient experienced chest pain earlier before a flight, now experiencing shortness of breath and fatigue. History of Present Illness (HPI): Patient presenting to the Emergency Room is a 54-year-old African American female. Patient experienced chest discomfort that resolved after a short period of time prior to her flight to Boston. After exiting the flight she started feeling shortness of breath and some anxiety as well as fatigue. Den...

Introduction Ms. Sunshine is a 54-year old African American woman who has coronary artery disease (CAD). Those of African American ethnicity have higher prevalence of traditional risk factors such as: hypertension, diabetes mellitus, obesity and atherosclerotic cardiovascular risk (Carnethon et al., 2017). While overall rates of coronary heart disease (CHD) has decreased over the last 10 years, the rate of decline in African Americans is smaller than that of Caucasians (4.0% for African Am...

Introduction An abundance of changes occur at the cellular level in patients who smoke cigarettes. Some of the cell processes that are effected by cigarette smoke include: induces mucous secretion, inhibits cystic fibrosis transmembrane conductance regulator function, endoplasmic reticulum stress, unfolded protein response, altered ceramide metabolism and apoptosis (Cantin, 2010). These cellular changes can lead to a variety of symptoms and disease within the lungs such as: increased risk ...

Diagnostic Testing Patients experiencing the signs, symptoms and testing results that Ms. Sunshine presents with are diagnosed with a myocardial infarction. First, she had chest pain prior to leaving for Boston, and then was experiencing shortness of breath. The chest pain and shortness of breath she was experiencing is all related to ischemia of the heart. Without oxygen to maintain normal processes the cardiac cells first attempt to switch to anaerobic cell processes, but after a period o...

Assessment In the case of Ms. Sunshine important key elements in her medical history include: hypertension, hyperlipidemia and history of smoking. While the patient has quit smoking for 10 years it is still important to consider when evaluating her history. Another key element is that Ms. Sunshine is likely undergoing some stress/anxiety as she was flying from Denver to Boston. Known risk factors for cardiovascular diseases include: hypercholesterolemia, diabetes, hypertension, obesity and...

SOAP Note- Ms. Sunshine Subjective Chief Complaint: Patient experienced chest pain earlier before a flight, now experiencing shortness of breath and fatigue. History of Present Illness (HPI): Patient presenting to the Emergency Room is a 54-year-old African American female. Patient experienced chest discomfort that resolved after a short period of time prior to her flight to Boston. After exiting the flight she started feeling shortness of breath and some anxiety as well as fatigue. Den...

Culture and Ethnicity Ms. Sunshine is a 54-year old African American woman who has coronary artery disease (CAD). Those of African American ethnicity have higher prevalence of traditional risk factors such as: hypertension, diabetes mellitus, obesity and atherosclerotic cardiovascular risk (Carnethon et al., 2017). While overall rates of coronary heart disease (CHD) has decreased over the last 10 years, the rate of decline in African Americans is smaller than that of Caucasians (4.0% for A...