Final answer:
Winona Smith, aged 73, is being evaluated for chest pain to rule out angina, considering her history of fibromyalgia, arthritis, and lupus. A thorough examination including tests like an EKG and blood work is necessary to address her cardiovascular symptoms while integrating care for her chronic conditions.
Step-by-step explanation:
Winona Smith is dealing with several complex medical conditions, including fibromyalgia, arthritis, and lupus, and her current admission is due to chest pain to determine if it is related to angina. It is important to address not only the cardiovascular aspects but also consider her chronic conditions as they could be interrelated or contribute to her symptoms. The medical team will likely conduct various tests to rule out angina and assess the risk of a heart attack. These tests could include an EKG, stress test, and blood work to measure cardiac enzymes. They would also review her current medications and medical history, considering the complexity of managing fibromyalgia, arthritis, and lupus while treating possible cardiac issues.