Differential Diagnosis and Primary Care

  Differential Diagnosis and Primary Care   CASE SCENARIO Mr. M.J. is a 64-year-old patient of Hispanic descent who presents to the clinic today with concerns about epigastric and substemal pain that has gotten progressively worse over the past 3 months. He complains of mild “heartburn after eating a large meal for at least 2 years. He has tried over the counter products occasionally with adequate response. Three months ago, he was awakened with severe burning discomfort that extended from his mid-chest to his jaw that lasted 30 minutes before he was able to fall back to sleep. He is now experiencing these attacks about 3 timefi per week. He has tried avoiding large meals and is now sleeping on two pillows at night to relieve his pain which has improved his pain. Discuss Unstable Angina Pathophysioloy of unstable angina Signs and symptoms how you diagnose/labs/tests how to treat/ meds and non meds what to teach the patient use scholarly peer reviewed journals not older than 5 years.