Chest pain history

by Mark Morgan on November 24, 2010

summary, references, & relevant links
Summary: Subjective/History template for chest pain contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook.
Reference: Dr. Scott Moses' Epic dot phrases.

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Chest pain Onset *** prior to evaluation Onset while: *** Associated Pain (0=none, 10=severe) Location: *** Radiation: *** Severity now (0-10): *** Severity at worst (0-10): *** Duration: *** Characterized as: ***. The pain is relieved with *** *** exertional pain *** pleuritic pain Associated Symptoms: *** nausea/vomiting *** diaphoresis *** shortness of breath Pertinent PMH *** Coronary Disease *** Cerebrovascular disease *** Diabetes Mellitus *** Peptic Ulcer or GERD *** Chest injury or overuse Pertinent Medications: *** Aspirin was taken today *** Nitroglycerin Pitfalls: *** unilateral leg swelling *** recent prolonged travel, recent trauma, hypercoagulable state, hormonal therapy Cardiovascular risks are reviewed as follows: Family history of Premature CAD or CVA (<55): *** Tobacco use: *** Hyperlipidemia: *** Hypertension: ***
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