Bill is a 50 yo African American man who had chest pain when…
Bill is a 50 yo African American man who had chest pain when getting out of the shower. He described it as continuous squeezing in the center of his heart. It did not go away with rest. He reported that 5 years ago, when he was a runner, he would have a milder version of this type of chest pain while running, but it always went away with rest. PMH: Obesity, HTN, (+) smoker SH: Married, 2 teenage daughters, works 60 hrs. /wk. as an accountant. He likes to play golf. You are a physical therapist assistant and Bill’s care was delegated to you by the PT. You notice during your chart review that Bill’s lab values have yet to start trending down. What is the best course of action?
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