Skinny Reasoning Case Study Example
History
Present Problem:
JoAnn Smith is a 68-year-old female who presents to the emergency room after having three days of progressive weakness. She denies having chest pain, but admits to shortness of breath (SOB) that increases with activity. She also epigastric pain with nausea that has been intermittent for 20-30 minutes over the last three days. Her epigastric pain has become worse and is radiating into her neck. Her husband called 911 and she was transported to the hospital by emergency medical services. She is 5'3" and weighs 136 pounds (62kg).
Personal/Social History
JoAnn is a recently retired math teacher who continues to substitute teach part-time. She is physically active and lives independently with her spouse in her home. She has smoked 1 per-per-day the last 40 years. JoAnn appears anxious and immediately asks for her husband upon arrival.