A 47-year-old male patient, who is a house painter and whom you haven’t seen in several

In: Nursing

A 47-year-old male patient, who is a house painter and whom you haven’t seen in several…

 

 

A 47-year-old male patient, who is a house painter and whom you haven’t seen in several years, presents

with chronic fatigue and mild chest pain frequently relieved by taking a break from painting. He’s

married to a 47-year-old woman with multiple sclerosis and has two married children and one

grandchild living nearby. He also complains of frequent eructation, flatulence, and indigestion after

eating. He was told (when he weighed 30 lbs. less than he does now) that he could control his

hyperlipidemia by diet.

CC: “I’m always tired, and I have this annoying chest pain when I climb a ladder.”

Past medical history: Anxiety, cholecystectomy, vasectomy

Vital signs: Blood pressure (BP): 146/88; height, 6 ft; weight, 242 lbs.

Lab results: TC 230; LDL 180; HDL 32

  • What additional subjective data do you think the patient will share?
  • What additional objective data will you be assessing for?
  • What National Guidelines are appropriate to consider?
  • What tests will you order?
  • Will you be looking for a consult?
  • What are the top 3 differential diagnoses and why? What is your final diagnosis? Give rationale.
  • Are there any legal/ethical considerations in treating this patient
  • What is your plan of care?
  • Are there any Healthy People 2020 objectives that you should consider?

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