Question: TRANSLATE THIS REPORT FROM “MEDICINE” INTO ENGLISH: 67 Y/o Male C/o Chest Pain And SOB X 2 H. Pain Is Severe (8 Out Of 10), Centered Under Sternum, And Radiates To The L Arm And Jaw. Pain Woke Patient From Sleep And Is W/o A With Movement Or Breathing. Pt. Has A H/o ASHD, MI 1/15/01, HTN, And DM. Meds Include ASA, Insulin, Lasix, And Lisinopril. Allergic …

TRANSLATE THIS REPORT FROM “MEDICINE” INTO ENGLISH: 67 y/o male c/o chest pain and SOB x 2 h. Pain is severe (8 out of 10), centered under sternum, and radiates to the L arm and jaw. Pain woke patient from sleep and is w/o A with movement or breathing. Pt. has a h/o ASHD, MI 1/15/01, HTN, and DM. Meds include ASA, insulin, Lasix, and lisinopril. Allergic to PCN. On exam, pt is A+O x 4, diaphoretic, and anxious. HEENT: PERL Neck: – JVD, positive use of accessory muscles Chest: BS crackles at bases, + retractions Abdomen: soft, non-tender Assessment: r/o chest pain of cardiac origin Plan: oxygen (15L NRB), IV NS TKO, cardiac monitor, monitor V.S., transport position of comfort, NTG X 3 and MS 2 mg IV with decrease in pain from an 8 to a 3, ASA deferred as patient had a dose today. A 76 y/o__ admitted amb. into the ER. c/o SOB and appears to be cyanotic. Tests ordered: ABG’s, CBC, CXR, and EKG STAT. IV started with 18 gauge butterfly infusing D5W at 20 gtts/min. VS wnl. Pt. to be sent to ICU per ASAP. RX of Lanoxin 25 mg to be given po c meals qd