NRNP 6531 Week 8 iHuman Case Study (69 year old female with chest pain)

The patient is a 69-year-old female with PMH of overweight BMI, CAD, HTN, hyperlipidemia, and aortic stenosis presenting with intermittent, less than 5-minute episodes of diffuse chest pain that began 5 days ago. Symptoms are worsened with mild exertion, relieved with rest within 3-5 minutes, and accompanied by dyspnea and fatigue on exertion. She denies tobacco, alcohol, and drug use as well as recent URI or viral illness, fever, weight loss, nausea, or vomiting. Vitals reveal mild tachycardia but are otherwise stable, and physical exam shows pre-existing grade II systolic murmur without other abnormalities.