History of Presenting Illness
Ms. Kumar stated that she had an alarming situation during her water aerobics class yesterday. She stated she gradually became shorter of breath and her heart started racing. When her instructor checked her heart rate, it was 120 beats per minute. She said her symptoms improved after resting for 30 minutes. Ms. Kumar has a history of hypertension inwhich is taking metoprolol 100mg daily and aspirin 81mg daily. She had a CABG performed 8years ago. She also takes atorvastatin 20mg daily for her high cholesterol.Ms. Kumar also states that she has been feeling more fatigued, weaker, and easily windedover the past two months. She feels good waking up in the morning but gets tired throughoutthe day. She does get tired walking up stairs and around the block. Denies having difficultywith performing activities of daily living. She does states she has pain in her knees but that isdue to her osteoarthritis. She takes ibuprofen 600mg as needed for pain.Ms. Kumar also has an ongoing problem of constipation. She takes OTC bowel cleanses asneeded. She states her problem with constipation has gotten worse. She denies any changesto her bowels or abdominal pain. She denies any other health problems other the acid reflux,which is well controlled with esomeprazole 40mg daily.Patient is normally healthy and denies being around anyone sick or any recent travel