Question: ,53 yr old female. 5 ft 10 in 210wt.
history hbp, depression aniexity , poor spelling, short term memory , migraines, chest pain
, leg theigh pain skeletal pain. lumbar back,injury new,
life stress- mom and dad died , marriage of 27 years divorced... bullied at work , quit not working,, 7 years of Trichotillamania, PMDD, still having periods every other mo.
Meds. klonapin 1 mg bid for 25 years,, Effexor xr
150, trazadone 100 mg bed, toperal hbp. imatrex prn
drs seen ,
cardio stresss cardio w XXXXXXX . test passed . calcium 0 DX mvp
rhum test for connective tissue
disease mixed= yes
blood work esr =7 vit D=17 serologyRF=< 10 very concerned , cardiac risk ?? IMMUNOLOGY ANAscreen ccpAb IgG = Positive A <0.50 ANA, IFA = Negative
Primary Dr, fibromyalgia
, migraines, chest pain, stress, fatigue chronic, depression, does not feel well 50 %, hx sore throat
, Taken off work in November 2013.
Dr . Phyciatrist. aniexty, depression, stress/ divorce family deaths. panic disorder. pain management Klonapim Effexor continued.
DR Gyn, mammo good , abnormal pap 3 years, diag hvp polposcopy, inflammation repeat after next pap.
DR at urgent care.. 2 x, car accident w big rig , ran over debrie in the road ,,, whiplash L Lumbar sprain
,, pain, taken 2 flexural. what would your diag, and treatment include? Thank you,