An 80-year-old woman has arrived in the emergency department. The health care provider is questioning whether she has had an MI although she is not displaying the classic chest pain
Which symptoms would more likely occur in this patient than others because of the patient's gender and age? 1. Jaw and/or tooth pain
2. Centralized chest pain
3. Generalized fatigue accompanied by dyspnea and diaphoresis
4. Dyspnea accompanied by crackles in all lobes
3
Rationale 1: This is a symptom of cardiac disease and can occur in men and women, so it is not a differential for women.
Rationale 2: Centralized chest pain is more likely to occur in men than in women.
Rationale 3: Coronary symptoms in women include fatigue, diaphoresis, and nonspecific pain that is different than that identified by men.
Rationale 4: Rales are evidence of fluid backup in the pulmonary system as seen in congestive heart failure. Both genders can have dyspnea and, therefore, it is not a differential factor.
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