AI Pipeline Testing

CHIEF COMPLAINT: Chest pain for 2 hours.

HISTORY OF PRESENT ILLNESS: 
This is a 58-year-old male who presents to the emergency department with acute onset chest pain that began approximately 2 hours ago while he was walking up stairs at home. He describes the pain as crushing, substernal, radiating to his left arm and jaw. The pain is rated 8 out of 10 in severity. He reports associated shortness of breath, nausea, and diaphoresis. He denies any recent trauma or similar episodes in the past.

PAST MEDICAL HISTORY: 
Hypertension, hyperlipidemia, type 2 diabetes mellitus, former smoker with 30 pack-year history, quit 5 years ago.

MEDICATIONS: 
Metformin 1000mg twice daily, lisinopril 10mg daily, atorvastatin 40mg daily.

ALLERGIES: No known drug allergies.

PHYSICAL EXAMINATION:
Vital signs: Blood pressure 150/95, heart rate 102, respiratory rate 22, oxygen saturation 96% on room air, temperature 98.6°F.
General: Diaphoretic, appears uncomfortable.
Cardiovascular: Tachycardic, regular rhythm, no murmurs, rubs, or gallops.
Pulmonary: Clear to auscultation bilaterally.
Extremities: No lower extremity edema.

ASSESSMENT AND PLAN:
58-year-old male with chest pain concerning for acute coronary syndrome. Will obtain EKG, chest X-ray, and cardiac enzymes including troponin. Started on aspirin 325mg chewed, clopidogrel 600mg loading dose, and atorvastatin 80mg. Cardiology consultation requested. Patient placed on continuous cardiac monitoring.