CASE AND ANALYSIS BY JAMES P. RICHARDSON, MD, MPH, Author at Clinical Advisor

CASE AND ANALYSIS BY JAMES P. RICHARDSON, MD, MPH

All articles by CASE AND ANALYSIS BY JAMES P. RICHARDSON, MD, MPH

Multiple complaints unresolved after

Surgery eliminated her cardiac symptoms, but the elderly patient continued to bring a list of complaints to every visit. Mrs. W, 84 years old, was referred for ongoing care after successful cardiac bypass. Her history was significant for CAD, hypertension, diverticulosis with a GI bleed one year earlier, osteoporosis, osteoarthritis, irritable bowel syndrome, and gastroesophageal…

New-onset vomiting after palpitations and shortness of breath

The patient’s cardiopulmonary symptoms had improved, but now her GI tract was misbehaving. At age 78, Mrs. W had a history of atrial fibrillation, painful peripheral neuropathy, osteoarthritis, chronic steroid use, CAD, and iron deficiency anemia due to clopidogrel (Plavix). Recently, palpitations and shortness of breath had led to a stay in the hospital. Evaluation…

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