Diagnosing and Managing Common Cardiovascular and Neurologic Conditions

A 48-year-old overweight African American female is in the clinic for a wellness visit- A routine fasting lipid panel returned With the folloWing results: Total cholesterol: 305 mmol/L Low-density Iipoprotein (LDL): 180 mg/dl High-density Iipoprotein (HDL): 30 mg/dl Triglycerides: 165 mg/dl Case Study 2 You are seeing a 63-year-old African American female for a two-week history of intermittent chest pain- The pain varies in intensity and resolves With rest- She does not believe it has increased over time- She is a nonsmoker With a history of hypertension treated With Lisinopril 10 mg once daily. She had an exercise stress test one year ago that was Within normal limits- Her physical exam findings are as follows: HR-QO, BP-150/92, R-22, 028at 98°16 RA; lungs: clear to auscultation bilaterally; cardiovascular: apical pulse of90 RRR, no rubs, murmurs, or gallops- Chest wall mildly tender to palpation that reproduces her complaint of pain- Extremities include no clubbing, cyanosis, or edema- The remainder of the exam is Within normal limits- Case Study 3 A 32-year-old Asian American female is in the clinic for a history of recurrent headaches for the past year, occurring monthly, lasting up to 12-1 8 hours- The headaches are sometimes associated With photophobia, nausea, and vomiting- She takes either acetaminophen or ibuprofen for relief that is not always successful- She uses Ortho Tricyclin for birth control- Her physical exam is Within normal limits- Provide an explanation of the differential diagnosis for the patient in the case study you selected- Explain Which is the most likely diagnosis for the patient and why. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments- Finally, explain strategies for educating patients on the disorder-