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iHuman Case Study - Jacob Abraham 58yrs Old Male - CC: Burning chest discomfort Ihuman Jacob Abraham 58y/o Reason for encounter: Burning chest discom fort :Questions 1. HowcanIhelpyoutoday a. “Ivebeenhavingsomechestdiscomfort.” 2. Doyouhaveanyothersymptomsorconcernsweshoulddiscuss? 3. Whendidthepaininyourcheststart 4. Isyourchestpainprecipitatedbyexercise 5. Doesanythingmakethepaininyourchestbeterorworse 6. Wheremorepreciselyisthepaininyourchest 7. Howsevere(1-10)isthepaininyourchest a. 4-5/10 8. Doesthepaininyourchestradiatesomeplaceelse? a. Movesupintoneck(pointingtoadamsapple) 9. Haveyouhadthepaininyourchestbefore? 10.Anychangeinyourchestpainsinceitbegan 11.Howlongdoesyourchestpainlast a. Last30minutes 12.Howoftendoesthischestpainocur 13. Doyoudrinkalcohol?Ifsowhatdoyoudrinkandhowmanydrinksperday? a. 1drinkpostdinner,notQnight. 14. Canyoutellmeaboutyourdiet?Whatdoyounormallyeat? 15. Doyouhaveanyproblemswithfatigue,difficultysleeping,unintentionalweightlossorgain 16.Doyouexperienceshortnessofbreath,wheezing,difficultycatchingyourbreath 17.Doyouhaveproblemswithnauseavomitingconstipationdiarrheacoffeegroundsinyourvomit 18.Hasdrinkingalcoholevercauseyouproblems? 19. Haveyoueverfeltyouneededtocutdownonyourdrinking? 20. Haveyoueverbeenannoyedatanyoneforsuggestingthatyoucutbackinyouralcoholconsumption? 21.Doyouneedanalcoholicdrinkfirsthinginthemorning? 22. Whenandwhatdidyoulastdrink? 23. Doyoupresentlyhaveheartburn,afoodoracidtasteinyourmouth? 24.Doyouhaveahistoryofheartburn? 25.Doyouhaveanyproblemswithnervousness,depression,lackofinterest,sadness… 26.Doyouhavedifficultybreathing 27.Hasanyonesuggestedthatyoushouldreducetheamountofalcoholyoudrink :::MISSING in PMH 1 in Etiology 1 Diagnosis: GERD :Differential diagnosis :Madalyn put Unstable angina - GERD - Pneumonia - Aortic dissection - Acute coronary syndrome -