whats the difference between the two?? what makes them different?/
here the case that we've been debating on..cant find a strong argument to convince the group that its a case of Stable Angina..
patient X, 52, Male, Married
Chief Complaint: CHEST HEAVINESS/TIGHTNESS
3mo's PTC, patient experience chest pains 2x a week and relieve by few minutes of rest. 2 mo's PTC patient experience chest pains 3x a week, pain relieve by drinking water. 1mo's PTC patient experince chest pains while walking to his office from the parking lot(2blocks away) and going up to his office (3rd floor). 2 weeks PTC patient experienced throbbing pain in his neck radiating to his arms when he carried 2 basket full of marketgoods. 2 days PTC patient experience the same symptoms when he have an emotional outburst against his rebelling son. patient was relieve by rest. hours prior to consultation, upon arriving form his office, he ask a bottle of softdrinks which triggered the same signs and symptoms 2 days ago..patient opted for consultation because of it.
Past medical History:
patient was diagnosed as hypertensive 10 yrs ago an have been on medication. he was also diagnosed having metabolic syndrome a year and a half ago.
Px father died of cardiac arrest, mother died of complications of Diabetes(type2) and sister is also diabetic.
Px smokes half a pack a day for 32years. use to play tennis til the age of 30, after that only plays basketball on any given weekends and plays golf occasionally. gained wieght because of having a sedentary lifestyle..
thanks for helping me...