Marge is 28 years old and considers herself in good health.

Marge is 28 years old and considers herself in good health. She takes oral contraceptives for birth control and escitalopram 10 mg for anxiety. She has come to your clinic today because she is having generalized bilateral chest pain. Her temp is 99.8 °F, her pulse is 90 and regular, her respiratory rate is 28, and her BP is 118/66. Her O₂ sat is 96% on room air. She states the pain is sharp and worse when she takes a deep breath or lays down on the unaffected side. It has been there for about four days. No one at home is sick. She works as a secretary for a tech company. She does not smoke.

1. What other questions would you ask Marge?

1. What components of the physical examination would you perform?

1. What differential diagnoses would you consider?

1. Would you order any tests for Marge? If so, what and why?

If one of your differential diagnoses is pleurisy or costochondritis, write a plan of care for Marge based on your diagnosis