Ihuman Jacob Abraham 58y/o Reason for encounter: Burning chest discomfort :Questions 1. HowcanIhelpyoutoday a. “Ivebeenhavingsomechestdiscomfort.” 2. Doyouhaveanyothersymptomsorconcernsweshouldd iscuss? 3. Whendidthepaininyourcheststart 4. Isyourchestpainprecipitatedbyexercise 5. Doesanythingmakethepaininyourchestbeterorwors e 6. Wheremorepreciselyisthepaininyourchest 7. Howsevere(1- 10)isthepaininyou rchest a.4-5/10 8. Doesthepaininyourchestradiatesomeplaceelse? a. Movesupintoneck(pointingtoadamsapple) 9. Haveyouhadthepaini nyourchestbefore? 10.Anychangeinyourch estpainsinceitbegan 11.Howlongdoesyourch estpainlast a. Last30minute s 12.Howoftendoesth ischestpainocur 13. Doyoudrinkalcohol?Ifsowhatdoyoudrinkandhowma nydrinksperday? a.1drinkpostdinner,notQnight. 14. Canyoutellmeaboutyourdiet?Whatdoyounormally eat? 15. Doyouhaveanyproblemswithfatigue,difficult ysleeping,unintentionalweightlossorgain 16.Doyouexperienceshortnessofbreath,whee zing,difficultycatchingyourbreath 17.Doyouhaveproblemswithnauseavomitingconstipati ondiarrheacoffeegroundsinyourvomit 18.Hasdrinkingalcoholevercauseyouproblems? 19. Haveyoueverfeltyouneededtocutdownonyourdrink ing?