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Date: 2/12/2024 History: the patient is a 45 yo F here for nervousness. A few weeks ago she noticed that she was feeling more nervous than usual and that it has been worsening. It is exacerbated by family and work. She feels espeically nervous on Sunday night and Monday morning when she is preparing for the week. She is unable to fall asleep and doesn’t want to eat anything, though she does make herself eat. Nothing helps her nervousness. She otherwise denies significant changes in appetite, weight loss, or overall wellbeing. She denies fevers, chills, nausea, constipation, diarrhea, skin changes, racing heart, shortness of breath, dizziness, headaches or rashes. ROS: otherwise negative PMH: None; PSH: None Meds: Tylenol for occasional HA FHX: Father had an MI, died at 65yo Allergies: NKDA SH: Lives at home with husband, mother, and youngest son. Is an english literature professor at a local college. Has 2 drinks/mo, no tobacco or drug use. Physical Examination: VS: Blood Pressure: 130/85 mm Hg Heart Rate: 96/min Gen: No acute distress, conversational, thin Neck: No thyromegaly, no lymphadeopathy Heart: RRR, no murmurs, rubs or gallops. Radial pulses +2 bilaterally Lungs: Clear to ascultation bilaterally, no wheezes Psych: Well-groomed. Non-pressured speech, linear though process. |