Ms. L.T. is a 61-year-old female presenting with intermittent chest tightness and exertional dyspnea for 3 weeks.
History:
· PMH: Hypertension, tobacco use (30 pack-years), anxiety
· Medications: Amlodipine 5 mg daily
· Symptoms: Chest discomfort radiating to jaw, relieved by rest
Vitals:
· BP: 156/88 mmHg
· HR: 96 bpm
Initial Findings:
· EKG: Nonspecific ST-T changes
· SpO₂: 95% on room air
Student Assignment Requirements
1. Pathophysiology (25%)
· Compare and contrast ischemic vs non-ischemic chest pain mechanisms
· Explain cardiopulmonary causes of dyspnea
· Address anxiety overlap
2. Assessment & Differential Diagnosis (35%)
· Focused cardiac and pulmonary exam
· Prioritized differential diagnosis
· Identification of life-threatening conditions
· Decision-making for ED referral vs outpatient management
3. Pharmacology & Initial Management (30%)
· Acute and chronic pharmacologic considerations
· Antihypertensive optimization
· Risk reduction strategies
· Follow-up testing and referrals
4. APA & Evidence Integration (10%)
