Question:
Present Problem- Maria 68 years, seen in the ED after 3 days of progressive weakness Denies chest pain but has SOB that increases with activity Epigastric pain with nausea that has been intermittent for 20-30 minutes over the last 3 days Epigastric pain is worsening and now radiating to her neck Social Hx Lives with daughter and grandson Emigrated from the Philippines 11 years ago Smoked one pack per day for 40 years Sedentary lifestyle Vital Signs HR: 128- Review Strip BP: 108/58 mmHg O2 Sats: 99% Respiratory Rate: 24 Temp: 37.3