A 20-year-old male patient is scheduled for an echocardiogram. The patient says, "I don't understand why this test is necessary when I came in for back and hip pain.". The nurse considers which information before responding?
1. Cardiac pain often refers to the back.
2. Ankylosing spondylitis also affects the heart.
3. The patient likely has septic arthritis, which can be caused by congenital heart disorders.
4. Young males often develop back pain as a sign of dissecting aortic aneurysm.
2
Rationale 1: The pain of myocardial infarction may refer to the back, but this disorder would be unlikely in the patient.
Rationale 2: Back and hip pain in a young male may be associated with ankylosing spondylitis. AK also affects cardiac tissues.
Rationale 3: Septic arthritis is caused by infection.
Rationale 4: Dissecting aortic aneurysms are more common in older men. There is no additional assessment finding to suggest this disorder in this patient.
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