Reference no: EM133701957

Question

Write 3 differential diagnosis and The EKG shows sinus rhythm, which is a normal heart rhythm. However, it's important to note that a normal EKG does not rule out ACS. 2. Normal Vital Signs: His vital signs are normal, which might not be expected in a severe heart attack. However, vital signs can be normal in ACS, especially if the pain has resolved. Supporting data (Pertinent positives): Refuting data FOR John Budd is a 62-year-old man who experienced chest pain at work and was brought to the Emergency Room (ER) by ambulance. You have been asked to see him. ohn is alone. It is 14:00 hours. The paramedic hands over as follows: "62-year-old male, central chest pain at rest at work today at 13:00 hours, lasted around 30 minutes, terminated with Nitroglycerin spray and IV morphine. Given aspirin 300mg. EKG shows sinus rhythm. Pain free now. Vital signs normal. Over to you doc." John describes his symptoms:"I went to work as usual, felt a bit tired today but nothing to write home about. I was walking up the stairs to my office when I felt this awful pain in my chest, like someone had grabbed my insides and was squeezing.