2015-10-14
295
A 50-year-old man presents to clinic with a complaint of central chest discomfort of 2 weeks' duration, occurring after walking for more than 5 minutes or climbing more than 1 flight of stairs. The chest discomfort resolves with rest within several minutes. He is obese, has a history of hypertension, and smokes 10 cigarettes a day. His father died from a myocardial infarction at the age of 54 years. On examination, his blood pressure is 144/92 mmHg with a heart rate of 82 bpm. The remainder of his examination is normal.
Exercise 11. Put the verbs in brackets into the correct form.
Case history #2
A 60-year-old man with a history of a myocardial infarction (to present) to clinic for follow-up. He (to start) on aspirin, beta-blocker, and statin therapy after his heart attack. In the past 2 weeks the patient (to note) return of chest pressure when he walks rapidly. The chest pressure (to resolve) with sublingual glyceryl trinitrate or a decrease in his activity level. He is a former smoker and (to modify) his diet and activity to achieve his goal body weight. He is normotensive on examination with a heart rate of 72 bpm. The remainder of his examination (to be) normal.
Exercise 12. Approve or disapprove the following Dr. Shelton’s quote:
