36-year-old female arrives at the clinic with reports of fatigue, palpitations, ringing in the ears, and excessive tiredness with activity. The symptoms began with increased fatigue and have increased in severity gradually over the last 2 months. Palpitations occur sporadically but more often after a period of activity; no other chest pain reported. Fatigue is relieved with periods of rest but is beginning to interfere with her ability to perform at work. Client denies any head injuries or adverse events occurring in the last 6 months. Medical history includes heavy menstrual bleeding treated with daily oral contraceptives and mild rheumatoid arthritis for which she takes methotrexate once weekly. Client reports drinking 2 to 3 glasses of wine daily and denies smoking. For each body system, click to highlight the findings that require folow u Neurological: Alert and oriented. Reported generalized fatigue. Mild headache. Ringing in ears described as “roaring.” Cardiovascular: Normal heart tones. Denies chest pain. Radial pulses 3 , pedal pulses 2 , dorsalis pedis 2 . Capillary refill 2 seconds. Gastrointestinal: Denies nausea, vomiting, and diarrhea. Mild anorexia with 8 lb (3.6 kg) unintentional weight loss over 2 months. Denies blood in stool. Genitourinary: Reported chronic dysmenorrhea with heavy menstrual bleeding. Denies pain with urination. Denies blood in urine. Uterus is palpated one finger breadth above pubic symph
[Expert Solution]: 36-year-old female arrives at the clinic…
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