History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Essential Differential Diagnosis
Essential Immediate Steps
Test Result 1
Test Interpretation
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
About the Case
Lethargy in a 65-yr-old Man
Review of Systems
General
: No fevers, chills, weight loss, or fatigue.
Skin
: No rash or skin lesions; no excessive sweating.
HEENT
: No vision changes; no excessive salivation or lacrimation.
Pulmonary
: No cough, shortness of breath, or wheezing.
Cardiovascular
: No chest pain or pressure; no palpitations or lower-extremity edema.
Gastrointestinal
: No nausea or vomiting; no constipation; no diarrhea; no abdominal pain.
Genitourinary
: No hematuria, dysuria, or change in urine output.
Musculoskeletal
: Chronic low back pain since a motor vehicle accident 7 yr ago; no recent falls or injuries.
Neurologic
: No numbness or weakness of extremities; no headache.
Psychiatric
: Describes depressed mood and suicidal ideation; admits he attempted to end his life today by ingesting his medications.
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