Student Worksheet for iHuman Case Debrief Think about the clinical presentation that you would expect for each diagnosis. What signs & symptoms did the patient present with that were consistent with/expected for that diagnosis? (Include history findings (HPI, ROS, SH, FH, PMH), physical exam findings, and diagnostic tests). What history/signs/symptoms/diagnostics would you expect for that diagnosis that was lacking? DIAGNOSIS: Unstable Angina Pertinent Positives List the Findings Rationale Subjective findings (HPI, ROS, PMFSH) • Constriction in middle of chest • Chest discomfort started during exercise. • Pain radiating to left arm • Shortness of breath • History of hypertension • History of hyperlipidemia • History of smoking • Diagnosis of coronary artery disease • Stressful work environment • Family history of heart disease • These symptomsthat the patient experienced are associated with unstable angina. The risk factors also align with the diagnosis of unstable angina. Objective findings (Physical Exam & Diagnostics) • Lipid profile showed a cholesterol level of 200 and an HDL of 45 • No evidence of cardiomegaly seen on CXR • No evidence of ischemia seen on 12 lead ECG • Troponin was not elevated • TEE showed no evidence of structural or functional abnormality • CK-MB was not elevated • BMP was normal • CBC was normal • The findings of the lipid profile show an elevated cholesterol and unchanged HDL after six months of lipid lowering therapy. This finding can contribute to the cause of unstable angina. The other diagnostics showed negative findings which rules out other diagnoses.