Patient Encounter

In: Science

Submitted By liewkw
Words 3030
Pages 13
Introduction

Myocardial infarction, more commonly known as heart attack, is the world’s leading cause of death. Approximately 30% of deaths worldwide are caused by some form of cardiovascular disease. The incidence of cardiovascular diseases is more prevalent in males, but is more fatal in females.

About the Patient

Rakesh* (pseudonym) is a 44-year old man of Indian heritage. He has served as a policeman for twenty-two years, and is currently married with two young children. Rakesh has lived in Malaysia his entire life, and speaks English, Malay, and Tamil with a somewhat equal level of fluency. Rakesh was at a government community clinic to get a diagnosis and treatment for some pain he had been experiencing in his upper body.

The pain began the night before at around 8pm, and started as a dull, throbbing sensation in his back between the shoulder blades which would occasionally radiate out to his axillaries. Initially believing that it was just a pulled muscle or two, he did not take any action and just continued with his usual activities. Later in the night, around 10.30pm-11pm, he began feeling a sharp, stabbing pain in his chest at irregular intervals. Unable to pinpoint the origin of the pain, he had taken some Paracetamol hoping that would alleviate the symptoms. By morning, he was convinced that it could probably be more than just a few tense or pulled muscles, and that he should not postpone medical attention.

The case being that the patient was not yet properly examined by trained medical personnel; differential diagnosis was possible based only on the symptoms presented and the lifestyle of the patient. The simplest of all possibilities behind this case being a case of a pulled muscle or excessive tension within the muscles, or a myocardial infarction as the worst.

Ethical Issues

Several ethical issues…...

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