Group A: Last name A-L
Discussion Topic: Cardiovascular and Peripheral Vascular Problems
Scenario 1: Group A – Last name A-L
A 58-year-old male present to the clinic with complaints of chest pain. He states that for the last 5 months he has noted intermittent substernal chest pressure radiating to the left arm. The pain occurs primarily when exercising vigorously and is relieved with rest. He denies associated shortness of breath, nausea, vomiting, or diaphoresis. He has a medical history significant for hypertension and dyslipidemia. He is taking atenolol for his high blood pressure and is eating a low cholesterol diet. His family history reveals father died at the age of 50 from a myocardial infarction. He has a 40 pack year smoking history and is currently trying to quit. His physical exam is within normal limits with the exception of his blood pressure being 150/95 mm/Hg and his heart rate of 80 bpm.
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