iHuman Case Study - Steven Van Dyke, 36- year-old Caucasian male-latest-2023-2024

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iHuman Case Study - Steven Van Dyke, 36- year-old Caucasian male-latest-2023-2024Steven Van Dyke is a 36-year-old Caucasian male smoker who presents to the ED following the acute onset of nonradiating... , nonreproducible chest tightness of >20 minutes duration, symptoms beginning while he was watching TV. He complains of associated palpitations, shortness of breath, choking sensation, dizziness, nausea, sweating, and “fear of having a heart attack.” He reports a 1-month history of similar episodes lasting 5-20 minutes, and now increasing in intensity over the past week. The first episode happened while exercising; subsequent episodes occurred during work-related meetings. This is the first episode occurring at rest outside of the work setting. PMH is significant only for childhood asthma; he denies any history of psychiatric disease. The patient’s father died 2 years ago at age 62 due to an MI. PE reveals an anxious-appearing young male with fidgeting of hands and legs. He is tachycardic and takes deep breaths between speaking in phrases. The cardiopulmonary and neurologic exams are otherwise normal. [Show More]

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