An 89-year old female complains of a “stabbing chest pain” and points to the are

An 89-year old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” No other complaints.
INSTRUCTIONS: Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
IMPORTANT: In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

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Categorized as Nursing

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