The patient presents with elevated heart rate and blood pressure on physical examination.
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Works as a cashier at a gas station full time.
Immunizations UTD, annual flu shot done and fully vaccinated for covid.Physical exam findings: General appearance, vital signs, neurological exam, and other relevant physical findings.The patient takes Lexapro 20mg daily for anxiety and depression, Losartan 50mg daily for hypertension, and metformin 1000mg BID for diabetes mellitus 2.The patient has a history of two total hospitalizations and two surgeries. The patient underwent a laparoscopic gastric sleeve surgery five years ago but failed to change her eating patterns. She has a history of oophorectomy related to ovarian cancer two years ago- currently in remission. Previous medical, surgical, and psychiatric history: Any previous medical or psychiatric diagnoses, medication use, surgeries, and hospitalizations. The patient is a 28-year-old single black female living in a low-income community with very little emotional support from her family. Risk factors: Previous history of childhood trauma (emotionally abusive mother, father not present), family history of anxiety and depression.Came today because friend insisted.ĭemographic data: Age, gender, race/ethnicity, occupation, living situation, and marital status. T: Self-medicates with alcohol, smoking cigarettes and marijuana, doesn't like to leave her house for any reason.
R: Alcohol, smoking cigarettes and marijuana.A: Leaving home, encounters with strangers.C: Hypervigilance, tremors, tachycardia, suspiciousness.The patient describes symptoms of re-experiencing the event, insomnia, avoiding going for her daily walks, and hyperarousal around new people and the general public. This event causes the patient a large amount of distress anytime she leaves her house and interferes with daily activities. The patient works as a gas station cashier, and leaving work late one night, she was asked to hand over her wallet and car keys to a homeless-looking disheveled man holding a knife. History of present illness: The patient reports experiencing a traumatic event four months ago.Even when I go shopping, I feel someone is watching or trying to approach me." Chief complaint: "I am always anxious and have frequent nightmares.Subjective data: chief complaint, history of present illness, demographic data, risk factors, previous medical, surgical, and psychiatric history: Please, provide in text citations as well as references within YEARS. This was my original post and THIS assignment is in response to the original post. Please, type an original answer, no previously published articles.
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