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
Review of Systems
General
: Patient has generally been feeling fine.
Skin
: No new rashes or skin lesions.
HEENT
: No vision changes, ear pain, nasal symptoms, or sore throat.
Pulmonary
: Denies shortness of breath, dyspnea during exertion, and cough.
Cardiovascular
: No orthopnea, paroxysmal nocturnal dyspnea, or lower-extremity edema.
Gastrointestinal
: Denies abdominal pain and poor appetite.
Genitourinary
: Noncontributory
Reproductive
: Noncontributory
Musculoskeletal
: No recent injury.
Neurologic
: Noncontributory
Psychiatric
: Has been generally in good spirits; no extremes of mood.
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