Your patient is a 58-year-old female complaining of indigestion and fatigue. You suspect she is having an Acute Myocardial Infarction (AMI). What is an AMI without chest pain called? Silent MI Nonexistent MI Abnormal MI Hidden MI
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A 59-year-old woman came to the emergency department of a local hospital complaining of pain and a feeling of heaviness in her abdomen for several days. She reported no weakness, chest pain, or left arm pain. She has no chronic health problems except for seasonal allergies and slightly elevated total cholesterol. CARDIAC ENZYMES 8:30 PM, APRIL 11 6:30 AM, APRIL 12 Total CK (54-186 U/L) 170 106 CK-MB (0-5 ng/mL) 6.3 3.8 % CK-MB (<6%) 3.7 3.6 Myoglobin (<70 μg/L) 52 41 Troponin T (0-0.1 μg/L) 0.8 2.3 Questions 1. Do the symptoms and personal history of this patient suggest acute MI? 2. Based on the preceding laboratory data, would this diagnosis be acute MI? 3. Why or why not?
Alexander B.
A 63-year-old female patient arrives in the emergency room complaining of chest pains, nausea, and shortness of breath. She has a high heart rate and cold clammy skin, all signs of a myocardial infarction. In follow-up tests, you might expect to see all of the following EXCEPT: Hypertension Elevated ST segment on ECG Increased cardiac enzymes in the blood Weak pulse
Bryan V.
CASE STUDY 26.2 A 59-year-old woman came to the emergency department of a local hospital complaining of pain and a feeling of heaviness in her abdomen for several days. She reported no weakness, chest pain, or left arm pain. She has no chronic health problems except for seasonal allergies and slightly elevated total cholesterol. 8:30 PM, April 11 6:30 AM, April 12 Cardiac Enzymes Total CK (54-186 U/L) 170 106 CK-MB (0-5 ng/mL) 6.3 3.8 % CK-MB (<6%) 3.7 3.6 Myoglobin (<70 ug/L) 52 41 Troponin T (0-0.1 ug/L) 0.8 2.3 Questions: 1. Do the symptoms and personal history of this patient suggest acute MI? 2. Based on the preceding laboratory data, would this diagnosis be acute MI? 3. Why or why not?
Josee P.
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