What is the most likely diagnosis and why

Assignment Help Other Subject

Reference no: EM133794007

Problem

ML is a 51 year-old Hispanic female. You have been following her for almost 2 years now and have been working very hard with her to manage her Type 2 DM, her hyperlipidemia, and her HTN. You have her DM and hyperlipidemia under control as evidenced by laboratory values. You're still working on her HTN. Given all of her risk factors you want her B/P to be under 130/80. At this time, she is only on ACEI daily for her HTN. She presents to you today for her usual follow-up visit and upon ROS she reveals that she has been having substernal chest tightness periodically. Sometimes occurs with exertion and resolves with rest. Medications: Metformin 1gm bid Lisinopril 20 mg qd Atorvastatin 20mg hs PE: Pt is morbidly obese. Cardiac exam: PMI at 5th ICS mid-clavicular line. Regular rate and rhythm, no S3/S4, or murmur present. Lungs: clear to auscultation bilaterally without crackles, wheezing, or rhonchi present. Extremities: 1 pitting edema present to bilateral lower extremities. No wounds present. Strong pedal pulses bilaterally. What is the most likely diagnosis and why?

Reference no: EM133794007

Questions Cloud

What is the most likely diagnosis : A young female patient presents with unilateral, throbbing headaches accompanied by nausea, photophobia and occasionally. What is the most likely diagnosis?

What are some ways you can promote critical thinking : As a future educator, what are some ways you can promote critical thinking while teaching nursing students caring for patients?

Which antibiotics is considered safe while breastfeeding : A 28 years old white female is breast feeding her 3 week old infant. She develops mastitis. Which antibiotics is considered safe while breastfeeding?

Which theoretical frameworks will you draw most frequently : Which theoretical frameworks will you draw most frequently to inform the fiscal management of the special education program under your oversight?

What is the most likely diagnosis and why : ML is a 51 year-old Hispanic female. You have been following her for almost 2 years now and have been working. What is the most likely diagnosis and why?

Investigate an organisation in the australian healthcare : MBA622 Comprehensive Healthcare Strategies - Investigate an organisation in the Australian healthcare sector and examine and evaluate the internal

Conduct a competitive advantage analysis of a company : Conduct a competitive advantage analysis of a company assigned - apply your strategic thinking skills in this assessment by researching the organisation

Evaluate the consequence of the actions taken : analyse the below situations and evaluate the consequence of the actions taken. Additionally, taking a stand, students should establish an argued conversation

Load-building strategy or process improvements : Conduct an analysis to determine the most cost-effective and efficient fleet strategy for the company. Compare the options of purchasing additional flat deck

User Account

All Pages