Patient Encounter Part 1

BE is a 62-year-old female with a history of known CAD and type 2 diabetes mellitus who presents for a belated follow-up clinic visit (her last visit was 2 years ago). She states that she used to be able to walk over one-half mile (0.8 km) and two flights of stairs before experiencing chest pain and becoming short of breath. Since her last visit, she has had increasing symptoms and has now progressed to shortness of breath (SOB) with walking only half a block and doing chores around the house. She also notes her ankles are always swollen and her shoes no longer fit, therefore she only wears slippers. Additionally, her appetite is decreased, and she often feels bloated. She also feels full after eating only a few bites of each meal.

What information is suggestive of a diagnosis of HF?

What additional information do you need to know before creating a treatment plan for BE?

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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