PHYSICAL EXAM:
You will be expected to write up your response as follows: List of Differential Diagnoses [rank ordered] A. Congestive Heart Failure B. Angina C. Hypercholesterolemia D. Myocardial Infarction
E. Diabetes Mellitus
F. with Grade II diastolic heart failure.
G. Hypertriglyceridemia
H. GERD I.
J. Hypertension
Leading hypothesis : Congestive Heart Failure Active Alternative hypotheses Must not miss diagnoses [critical rule outs] Congestive Heart Failure Angina Hypertriglyceridemia Hypercholesterolemia Most common diagnoses [reasonable alternatives] GERD Hypertension Diabetes Mellitus Presumptive Diagnosis [assumption] Congestive Heart Failure
Treatment Plan
Non-pharmacologic / lifestyle interventions (provide rationale) • Modify Diet. - Advance to a low-sodium, low-cholesterol, low-fat, solid diet as tolerated R: to minimize metabolic demands ...
