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Chapter: 1 / Q: 61
An 87-year-old female nursing home resident has started to complain of chest pain. There are no exacerbating or relieving factors for the pain. The nurses note that she is also short of breath. She suffers with chronic obstructive pulmonary disease which is usually well controlled on inhaled
Chapter: 1 / Q: 62
A 30-year-old secretary who has recently recovered from viral chest infection presents to A&E with intermittent chest pain. The chest pain is central in origin with no radiation or any associated symptoms. On examination the chest pain is recreated by exerting gentle pressure on the sternum
Chapter: 1 / Q: 63
A 68-year-old gentleman has complained of retrosternal chest pain. He notes that it is at its worse in the early afternoon and evening. The pain does not wake him from sleep but is recreated when he lies flat. He complains of associated nausea but no vomiting. He takes regular aspirin
Chapter: 1 / Q: 64
A 58-year-old gentleman is brought in to A&E by ambulance following an episode of chest pain at work. His colleague that accompanied him to the hospital mentioned that he described central chest pain which felt like it as tearing through to his back
Chapter: 1 / Q: 65
One week following a total knee replacement a 63-year-old woman starts to complain of chest pain. It is right sided in location and exacerbated by inspiration. It has no radiation or associated symptoms. She had previously complained of a swelling in her right calf which was thought
Chapter: 1 / Q: 66
A 54-year-old man presents to the renal clinic for regular follow-up post-live-related kidney transplant. He complains of a feeling of lethargy, weight gain and has been complaining of swelling of his ankles recently. There is no tenderness at the site of renal transplant and ultrasound
Chapter: 1 / Q: 67
A 78-year-old woman is brought to hospital by her neighbour who is concerned that she has become confused recently. On examination she is alert but not orientated in time or place and is noted to be tired and uncooperative during physical examination. Abdominal examination reveals
Chapter: 1 / Q: 68
A 52-year-old man presents to hospital with shortness of breath and cough productive of green sputum. He complains that he has been feeling weak, thirsty and thinks his high blood pressure medication may be at too high a dose as he has been urinating frequently for the past week
Chapter: 1 / Q: 69
A 42-year-old man presents to his GP for a yearly check-up offered in his area. His past medical history is unremarkable and he states that aside from some recent changes in his vision and headaches, both of which he attributes from some new glasses he bought a few weeks ago he feels well
Chapter: 1 / Q: 70
A 38-year-old man presents to his GP complaining of recurrent anxiety attacks. He describes three or four episodes whilst he has been out in public of feeling light-headed with palpitations and a mild tremor that causes him to want to sit down until the feeling subsides. Focussed questioning
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