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Troponin negative x1, but patient will need serial Troponins x2 every few hours and another EKG tonight to watch for ST-elevation.Sounds like I need to keep an eye out for her, Alex thought. Although chest pain was one of the most common presentations to the Emergency Department, it didn’t mean this one couldn’t take a turn for the worse-I’ll have to let the lab know about those Troponin lab orders. Let’s see ... first one was at 2 pm ... so 6 and 10 should be fine ... and the overnight float gets here at 7, so I’ll have the EKG ordered at the same time as the second Troponin.Past Medical History: Hypertension, Ovarian Cancer (remission), Anxiety, Depression, Obsessive Compulsive Disorder...Well, the psych history would lean me towards a noncardiac source for chest pain, Alex wondered, but then again I’m only a lowly nurse, what do I know.Past Surgical History: Tonsillectomy 1985, Appendectomy 2002, Salpingo-oophorectomy (bilateral) 2010, Breast augmentation 2015Medication list:. Phir maine bhabhi koKha ke aap let jao me back pe lga du to wo hs pde aur kehne lge k tum kaise lgaoge me khud krlungi phir maine kha k bhaiya ko to aap btaoge nhe to kaun lgaega aur mere bar bar bolne pe wo maan gye aur meri aur back kr ke let gye phir maine suit uper kiya aur kamar pe hath pherne lga aise krteKarte maine unhe kha ke yha uper be mark he shirt ko thoda upper uthao to bhabhi ne hmm me jwab diya aur ab piche se unke bra mere hatho me the aur me bhe uske kbhi niche hath dalta aur aise krte krte me side se bhabhi ke boobs ko hlka hlka touch krne lga wo ek dum shant the phir maine unkeBra ke hooks khol diye to wo dr gye aur bolne lge ye kya kr rhe ho rajat maine bola kuch ne wo moov se wo khrab ho jaegi to wo hste hue boli bda ho gya tu ab teri shadi krwane pdegi aur me unke body pe hath ghumane lga wo me heat me aa rhe the aur jb unhone kha ke apne bhaiyaKo na btana phir mujhe signal mil gya aur me unke boobs ko dbane lga aur kha tum dro na ye secret hum dono ke bich he.
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