Reference no: EM131971161

Joe is a 68 year old patient that presented with chest pain and shortness of breath that began while carrying pipes on a construction site. Patient feels like he is suffocating and describes chest pain as a dull pressure that has never been experienced before. Patient reports that many years ago, a primary care physician said he may need some "work" on his heart but patient "doesn't know what that means." Patient no longer sees the doctor. The patient has a history of hypertension, rheumatic fever as a child, and while in the Navy was exposed to asbestos in the shipyard. He is married with two children and currently works as a plumber. He denies tobacco and illicit drug use and states he only drinks beer occasionally. The only medications the patient takes is atenolol and aspirin.

1. What focused assessments will you perform (be specific) and why?