[Verified Answer]: Mrs

Mrs. S. is a 45 y/o who comes in today for follow-up of her chronic obstructive pulmonary disease and for new onset of chest pain. She has had 2-3 episodes of chest pain over the past week. Each episode of “compression”- like pain occurred at night and woke her up from her sleep. It has not occurred in the last 2 nights. She has never had pain like this before. She runs 2-3 miles every other day and has not had any accompanying chest pain or discomfort. These recent episodes of pain improved with positioning as propping herself up on 2 pillows seemed to relieve some ofthe discomfort. Lately, she has been eating larger meals, later at night than usual and that seems to coincide with the onset of her symptoms. She has no SOB, palpitations, nausea or diaphoresis. create detailed S.O.A.P. note for this patient