Patient Case Presentation - Maria R.

Vocabulary flashcards generated from the patient case presentation transcript covering history, physical examination, and lab results.

Maria R.

A $62$\text{-year-old} female patient presenting with a chief complaint of extreme tiredness for several months and bilateral leg swelling.

Amlodipine

A calcium channel blocker used by Maria R. for the treatment of hypertension.

Atorvastatin

A cholesterol lowering medication used by Maria R. for the treatment of hyperlipidemia.

3+ Ankle Edema

A physical examination finding in Maria R.'s extremities that increases during the day.

Vital Signs (Maria R.)

Blood pressure $154/92$, heart rate $58\,\text{beats/min}$, respirations $20/min$, temperature $36\,^\circ C$ ($96.8\,^\circ F$), and weight $78\,kg$.

Hemoglobin and Hematocrit (Maria R.)

Laboratory findings showing Hemoglobin of $10.8\,g/dl$ and Hematocrit of $33\%$.

Red Blood Cell Count (Maria R.)

Laboratory finding of $3.7\,\text{million/uL}$.

ANP Finding (Maria R.)

Atrial Natriuretic Peptide measured at $680\,pg/mL$ (normal $<100$).

TSH and T4 Finding (Maria R.)

Thyroid-Stimulating Hormone measured at $18\,mIU/L$ (normal $0.4\text{--}4.0$) accompanied by low T4.

Cholesterol Level (Maria R.)

Laboratory finding of $210\,mg/dL$.

ECG Findings (Maria R.)

Sinus bradycardia ($-58/min$), ejection fraction $45\%$, and left ventricular hypertrophy.

Chest X-Ray Finding (Maria R.)

Mild pulmonary vascular congestion.

Symptom History (Maria R.)

Progressive fatigue for $4\,\text{months}$, shortness of breath when climbing stairs, weight gain of $8\,\text{pounds}$ over past $2\,\text{months}$, feeling cold, and occasional constipation without chest pain.