History of progressive fatigue weakness and dyspnea

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Question

A middle-aged man comes to a clinic with a 6-month history of progressive fatigue weakness, and dyspnea. Upon further questioning, you determine that he has had an unintentional weight loss of 35 pounds despite an increased appetite. He is alert and oriented and looks his stated age; he does, however, appear anxious and his attention span is short. Vital signs are as follows: HR 118 bpm, blood pressure 156/96 mmHg., temperature is 101° F; the skin is warm and moist; deep tendon reflexes are hyperactive.

- What are the priorities for this patient's care?

- What additional subjective and objective data should you collect to confirm a diagnosis?

- What medication might be started after the diagnosis is made?

Reference no: EM133845220

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