Ms. Leah Thompson is a 47 y.o . patient who comes in today…Ms. Leah Thompson is a 47 y.o . patient who comes in today complaining of “heartburn” that is no longer responding to TUMS and Mylanta. She complains of heartburn especially after lunch and dinner. She is concerned that it may be a heart attack. She recently lost her job as bookkeeper for an auto parts store that went out of business. She is very stressed, as she is a single parent to two “bright kids” who are “college material.” She doesn’t know how she will afford college tuition, but she is determined to make it possible for them. She denies melena or bloody stools, or nausea/vomiting. She has gained about 22 lbs in the past 2 years. She has been working overtime as much as possible and has found very little time for exercising. She has no past medical history of heart disease, diabetes, or ulcerative colitis or Crohn’s disease. She has a normal CBC and has normal vital signs. You diagnose her with GERD. How would her symptoms differ if you suspected angina? If she was taking a Novel Oral Anticoagulant for atrial fibrillation what additional tests would you order? What would be the appropriate medication to prescribe? What education regarding the prescription would she need? Health ScienceScienceNursing
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