SOLVED1348

what are other differential Ghomsi Ogenda is a 35-year-old woman who has been referred to her PCP from the Emergency Room (ER). She has been feeling tired for several months and is now short of breath on exertion. She has brought some blood results with her. Ghomsi has come alone to the PCP office. “I went to ER because I’ve been feeling unwell for some time – around 6 months, but it is getting worse. I feel so tired. I feel out of breath when I walk up the stairs. My job is quite stressful. I have to work nights and do a lot of heavy lifting. I feel exhausted. I don’t think I can manage my job any more. Yesterday after moving some boxes around I felt my heart racing and I nearly passed out. That’s when my colleague took me to ER. They did some blood tests and told me I needed to see my PCP.” When asked, Ghomsi confirms she has no past medical history, does not smoke or drink alcohol, and works in a warehouse. She has no allergies. She is normally fit and well, and has no other symptoms. Her last period was 2 weeks
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