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.