CASE STUDY Initial visit: 74 y/o male comes to his PCP for a…

CASE STUDY Initial visit: 74 y/o male comes to his PCP for a follow-up appointment.  The nurse is interviewing the client.  He admits being a long-time cigarette smoker and a retired textile mill worker.  He also c/o syncopal episode while walking to get the mail out of his mailbox.  The syncopal episode resulted in being seen in the nearest emergency room after his wife called 911. Select four findings that if found during his visit would require further investigation?