Presenting Complaint

Shortness of breath.
Chest pain.

History of Presenting Complaint

Patient reports shortness of breath that suddenly occurred while in the shower yesterday.
Associated chest pain.

Observations

Not discussed.

On Examination

Not discussed.

Plan

Patient advised to attend Accident and Emergency immediately.

Safety Netting

Not discussed.

Recordings

Original (A4)

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Audit

Presenting Complaint

Shortness of breath. [1]
Chest pain. [4]

History of Presenting Complaint

Patient reports shortness of breath that suddenly occurred while in the shower yesterday. [2][3]
Associated chest pain. [4]

Observations

Not discussed.

On Examination

Not discussed.

Plan

Patient advised to attend Accident and Emergency immediately. [5][6]

Safety Netting

Not discussed.

References

[1] Shortness of breath.

[2] Patient having shortness of breath.

[3] Suddenly happened in the shower yesterday.

[4] Associated chest pain.

[5] Plan to advise patient to attend

[6] Accident and Emergency immediately.