Chest Pain in 74-Yr-Old Man

Review of Systems

  • General: No fevers and chills. No weight loss.

  • Skin: Noncontributory

  • HEENT: No nasal congestion or throat pain.

  • Pulmonary: No cough. No hemoptysis. Dyspnea recently but only with the chest pain.

  • Cardiovascular: No orthopnea, paroxysmal nocturnal dyspnea, lower-extremity edema, light-headedness, or palpitations.

  • Gastrointestinal: Nausea during the chest pain episodes. No vomiting.

  • Genitourinary: Noncontributory

  • Musculoskeletal: She has no muscle aches, joint pain, or stiffness.

  • Neurologic: No syncope. No progressive weakness or loss of sensation.

  • Psychiatric: Noncontributory