Analyse the following case study carefully and answer the questions 1. Analyse the following case study carefully and answer the questions X, a 47 year old construction worker with a 36- pack/ year smoking history, is admitted to your floor with a diagnosis of r/o X, a 47 year old construction worker with a 36- pack/ year smoking history, is admitted to your floor with a diagnosis of r/o myocardial infarction. He has significant male- pattern obesity. (“beer- belly”, high Waist to Hip Ratio {WHR}), a barrel myocardial infarction. He has significant male- pattern obesity. (“beer- belly”, high Waist to Hip Ratio {WHR}), a barrel chest and reports a dietary history of high- fat food. His wife brought him to the ED as he complained of unrelieved chest and reports a dietary history of high- fat food. His wife brought him to the ED as he complained of unrelieved “indigestion”. His admission vital signs were BP-202/124, PR- 96/min, RR- 18/min and T- 36.8 C. X was put on O2 2lt/ nasal “indigestion”. His admission vital signs were BP-202/124, PR- 96/min, RR- 18/min and T- 36.8 C. X was put on O2 2lt/ nasal cannula, an IV of D5W and he was given sublingual nifedipine in the ED. He was admitted to Dr. Graham’s service. He tells cannula, an IV of D5W and he was given sublingual nifedipine in the ED. He was admitted to Dr. Graham’s service. He tells you he is fine in a loud and angry voice and demands a cigarette
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