Established chief complaint
Reports chest pain
Asked about onset and duration of chest pain
Reports chest pain started about five minutes ago
Reports chest pain has been constant since it began
Reports sitting in bed when pain began
Asked to rate chest pain on a scale
Reports current pain is 6/10
Asked about on characteristics of the pain
Describes pain as tight and uncomfortable
Denies crushing pain
Denies gnawing or tearing pain
Denies burning pain
Asked about location of the pain
Reports pain location is in middle of the chest
Reports slight pain in left shoulder
Denies arm pain
Denies back pain
Denies jaw pain
Denies neck pain
Asked about pain triggers
Reports pain is aggravated by movement
Asked about stress and anxiety
Reports generally low stress lifestyle
Denies history of anxiety
Denies history of panic attacks
Asked relevant health history
Reports high blood pressure
Reports high cholesterol
Denies history of pulmonary embolism
Denies history of angina
Denies history of rheumatic fever
Denies history of heart murmur
Followed up on high blood pressure treatment
Reports taking high blood pressure medication
Reports high blood pressure medication is Lisinopril
High blood pressure medication dose is 20mg
High blood pressure medication is taken once daily
Followed up on high cholesterol treatment
Reports taking high cholesterol medication
Reports high cholesterol medication is Atorvastatin (Lipitor)
Reports high cholesterol medication dose is 20mg
Reports high cholesterol medication is taken once daily
Asked history of cardiac tests
Reports recent EKG test
Reports annual stress test
Asked about results of cardiac tests
Reports belief that EKG was normal
Reports belief that stress test was normal
Asked about substance use
Denies illicit drug use
Denies tobacco use
Reports moderate alcohol consumption
Followed up on alcohol consumption
Reports drinking only on weekends
Reports drinking 2-4 alcoholic drinks per week
Reports 2-3 drinks in a single sitting
Asked about exercise
Denies having a regular exercise routine
Asked about most recent meal
Reports most recent meal was previous night at 8 p.m
Reports meal consisted of buffalo wings
Asked about typical diet
Reports typical breakfast is granola bar and instant breakfast shake
Reports typical lunch is turkey sub
Reports typical dinner is grilled meat and vegetables
Denies moderating salt intake
Asked about review of cardiovascular system
Denies palpitations
Denies swelling
Denies circulation problems
Denies blood clots
Denies easy bleeding
Denies easy bruising
Asked about constitutional health
Denies fever
Denies chills
Denies fatigue
Denies sleep issues
Denies recent weight changes
Denies night sweats
Denies dizziness or lightheadedness
Asked about review of respiratory system
Denies cough
Denies shortness of breath while lying down
Denies blue skin
Asked about throat problems
Denies sore throat
Denies difficulty swallowing
Asked about review of gastrointestinal system
Denies diarrhea
Denies constipation
Denies flatus
Denies bloating
Denies heartburn or GERD
Reports earlier nausea
Denies vomiting
Asked relevant family history
Reports family history of heart attack
Denies family history of stroke
Denies family history of pulmonary embolism