Comprehensive management plan for this patient

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Reference no: EM133867180

Question

Linda Sanders is a 63-year-old female who presents to you for a refill on her Aldomet, which she has been taking for the past 20 years. She has previously seen her GP who died 1 month ago. She is anxious on this visit, as she has only, on occasion, been examined by her GP before. He usually just took her B/P in the chair and refilled her medications. Other than the HTN, she denies any hospitalizations or other medical problems. ROS- Difficulty sleeping over last month secondary to dyspnea, decreased appetite secondary to nausea, weight gain of 7 pounds over last month. PE 98.9 124/62 HR 118 24 Lungs: few wheezes posteriorly, bibasilar rales. Heart: No JVD, S1, S2, S3 gallop, rhythm regular. Abdomen: Morbidly obese, mild epigastric tenderness with no rebound. Extremities: 2+pitting pretibial edema bilaterally; 2+peripheral pulses; no cyanosis or clubbing, other PE findings WNL.

1. What are the differential diagnoses for this case? Provide top 3 with rationale.

2. What is the most likely diagnosis and why?

3. Which diagnostic test(s) will you order and why?

4. What is your comprehensive management plan for this patient?

Reference no: EM133867180

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