Chest Pain complaint r/o ACS in Clinic
A/P- who presents with chest pain consistent w/ -Typical chest pain -> patient w/ substernal/left sided chest pain, worsened by stress, relieved by rest/nitroglycerine -Atypical chest pain-> patient w/only 2/3 symptoms of typical chest pain -Patient is high/low risk given no comorbidities/comorbidities of -[checkbox name="variable_1" value="History of ACS| DM2| HTN| HLD| Cigarette smoking| cocaine usage'] Interventions made: 12 lead EKG interpretation- Aspirin 162 to 325 mg given Cardiac monitor attached IV access obtained, labs drawn for cardiac biomarkers (high sensitivity troponin) Nitrates given (unless contraindications) Oxygen as necessary Likely diagnosis: STEMI, NSTEMI, Unstable angina Plan: Disposition: -Chest pain and initial assessment non-reassuring for cardiac chest pain, sent to ED for ACS rule out.
There are 1 form elements.
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 1, 1 form elements, 106 boilerplate words, 1 checkboxes, 1 total clicks
More SOAPnotes by this Author:
Send Feedback for this SOAPnote
You must be logged in to post a comment.