A 57-year-old woman is seen at an
urgent care clinic for a headache not relieved by acetaminophen or
ibuprofen. Physical examination reveals an overweight woman who is
short of breath from the walk to the examination room. Her fingers
are puffy with tight rings that she is unable to remove. The woman
reports she has a history of cigarette smoking, primary
hypertension, high cholesterol, and type 2 diabetes. From these
risk factors and the initial impression, the staff fears some form
of heart disease, and the woman is transported to a nearby
emergency department for further evaluation.
A 57-year-old woman is seen at an urgent care clinic for a headache not relieved by acetaminophen or ibuprofen. Physical
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