HPI: Patient complains of intermittent sub-sternal chest pain which began yesterday
and is associated with shortness of breath.
PFSH: Remarkable for hyperlipidemia and ongoing tobacco abuse as well as a
strong family history of premature cardiovascular disease.
ROS: No active chest pain now. Negative for PND, cough, nausea or vomiting.
All other systems reviewed and are negative.
Exam: NAD, conversant. BP 150/80, RR 24, HR 98. EYES: normal. ENMT: normal.
CV: RRR, no MRGs, trace bipedal edema. Lungs: CTA with normal respiratory
effort. GI: Soft, non-tender, no HSM. Musculoskeletal: normal. Skin: normal.
Data: EKG was reviewed and showed some flipped T waves in the anterolateral
leads. CXR was reviewed and shows no active disease process. Labs show normal
electrolytes, CBC and normal creatinine. Troponin is 0.78
