Complete Shadow Health Chest Pain Assessment for Heather Powell. Unstable angina presentation, full ACS workup, EKG interpretation, troponin elevation, cardiac risk stratification and complete OPQRSTU pain evaluation. Used in Chamberlain, STU and West Coast University programs.
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Heather Powell presents to the emergency department with chest pain that started 2 hours ago at rest. She rates the pain 8/10, describes it as pressure-like radiating to the left arm and jaw. She is diaphoretic and pale on arrival. She has a history of hypertension, hyperlipidemia and a 20 pack-year smoking history — multiple major cardiac risk factors.
The Chest Pain Assessment covers a complete cardiac history using OPQRSTU, cardiac risk factor stratification, 12-lead EKG interpretation, cardiac biomarker documentation (troponin I elevated at 0.08 ng/mL), vital signs monitoring and the TIMI risk score calculation. ST depression is noted in leads V4-V6.
EKG: ST depression leads V4-V6. Troponin I: 0.08 ng/mL (elevated). Diagnosis: Unstable angina — ACS workup initiated. Cardiology consultation, aspirin, heparin and nitroglycerin initiated per protocol.