You are seeing a 63-year-old African American female for a two-week history of intermittent chest pain. The pain varies in intensity and resolves with rest. She does not believe it has increased over time. She is a nonsmoker with a history of hypertension treated with Lisinopril 10 mg once daily. She had an exercise stress test one year ago that was within normal limits. Her physical exam findings are as follows: HR–90, BP–150/92, R–22, O2Sat 98% RA; lungs: clear to auscultation bilaterally; cardiovascular: apical pulse of 90 RRR, no rubs, murmurs, or gallops. Chest wall mildly tender to palpation that reproduces her complaint of pain. Extremities include no clubbing, cyanosis, or edema. The remainder of the exam is within normal limits.
Question
1)Write an explanation of the differential diagnosis 1)Myocardial infarction,
2) costochondritis. 3)pericarditis.
2)Explain most likely diagnosis (Stable Angina) and why.
3)Then, based on the appropriate clinical guidelines, explain a treatment and management both non-pharmacological and pharmacological plan for the patient, including proper dosages for any recommended treatments.
4)Finally, explain strategies for educating patients on the disorder.