History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Essential Immediate Steps 1
Test Interpretation
Interim Follow-up
Diagnosis
Essential Immediate Steps 2
Essential Immediate Steps 3
Question 1
Question 2
Question 3
About the Case
Fatigue and Palpitations in a 53-year-old Woman
Past Medical History
Medical history
: Hypertension, type 2 diabetes, and tension headaches.
Surgical history
: Appendectomy at age 20.
Medications
: Lisinopril 10 mg daily and metformin 500 mg bid.
Allergies
: No known drug allergies.
Family history
: Mother is alive and has hypertension and diabetes mellitus. Father died of lung cancer. No history of early coronary artery disease or sudden cardiac death.
Social history
: Patient is married and works as a school teacher. Regularly exercises 3 times/wk. No history of smoking. Drinks a glass of wine with dinner most nights and one cup of coffee each morning. Denies use of decongestants, cocaine, and other stimulants. No illicit drug use.
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