How to Answer Chief Complaint Still Questions (Complete Guide)
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Original Question
CHIEF COMPLAINT: “I still feel very tired, even after my gynecologist said my iron levels are normal.” HPI: Cynthia Wallace is a 55 yo woman who presents to the clinic complaining of feeling tired for the last 6 months. Two months ago she had significant menstrual blood loss treated with a D&C and iron replacement for iron deficiency anemia. She stated that she was told that once her anemia was treated she would feel better. Upon further questioning, she admits that at times she feels unable to cope with job-related stress like she used to and has difficulty participating in recreational activities outside of work because she is tired. She also reports that her skin seems more dry and itchy in the scalp, breast, abdomen, and buttock area. She also states that she has difficulty warming up and always turning up the heat despite her husband’s requests to turn it down. PMH: Iron-deficiency anemia HTN x 4 years Perimenopausal FH: Positive for CVD, CAD; father died of CVA at age 55, mother is alive with HTN and had an MI at 60; She has one brother with type 2 DM and a sister with HTN. SH: Married, lives with her husband of 30 years; has 4 children who are now healthy adults. Works as a secretary in a middle school x10 years. Drinks an occasional glass of wine; (-) tobacco or drug use. ROS: Occasional headaches relieved with non-aspirin pain reliever; (-) tinnitus, vertigo, or infections; occasional body aches which she attributes to inactivity; (-) change in urinary or stool habits; (-) skeletal muscle complaints; reports cold extremities; (-) history of seizures, MS chang
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