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> Taking chest pain history
Taking chest pain history
Patient Identification
Name
Age
Gender
Contact information
Chief Complaint
Duration of chest pain
Onset of chest pain
Description of pain (sharp, dull, pressure, etc.)
Location of pain
Radiation of pain (to arms, jaw, back, etc.)
Severity of pain (scale of 1-10)
Alleviating factors (rest, medication, etc.)
Aggravating factors (activity, stress, etc.)
Medical History
Previous episodes of chest pain
History of cardiovascular disease (angina, myocardial infarction, etc.)
History of respiratory diseases (asthma, COPD, etc.)
History of gastrointestinal disorders (GERD, peptic ulcer, etc.)
Other relevant medical conditions (diabetes, hypertension, etc.)
Current medications (prescription and over-the-counter)
Allergies
Family History
Family history of heart disease
Family history of respiratory disease
Family history of gastrointestinal issues
Social History
Smoking status (current, past, never)
Alcohol consumption
Drug use
Occupational hazards
Physical activity level
Review of Systems
Cardiovascular symptoms (palpitations, shortness of breath, etc.)
Respiratory symptoms (cough, wheezing, etc.)
Gastrointestinal symptoms (nausea, vomiting, etc.)
Neurological symptoms (dizziness, syncope, etc.)
Musculoskeletal symptoms (pain with movement, etc.)
Summary and Next Steps
Summarize findings
Discuss potential diagnostic tests (ECG, chest x-ray, blood tests, etc.)
Plan for follow-up and management
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