Reference no: EM133787309

Question

A 28 y.o. female presents with shortness of breath and fatigue over the past 3 weeks. She noticed before this that she did not have her usual level of energy but says now she sometimes feels "like a fish out of water." She had a history of asthma as a child but no problems since middle school. She has allergic rhinitis for which she takes one over-the-counter loratadine daily. She takes no other prescription or over-the-counter medications. Psychosocial History-Has not worked since before her 3-month-old daughter was born and is glad she is able to be at home now. Baby sleeps most nights, and the patient says she generally sleeps well herself. She eats a vegan diet. Nonsmoker; rarely drinks alcohol and limits to only one glass of wine on these occasions. Husband does not smoke; she avoids secondhand smoke. Since her pregnancy, periods are regular, lasting approximately 5 to 7 days, with heavier flow than in the past. LMP was 2 weeks ago.