CaseBook home PubMed Medline UpToDate YSM Library.
YSM ONLINE CASEBOOK YALE UNIVERSITY SCHOOL OF MEDICINE
Case list.
Introduction.
Interview.
Phyisical exam.
Clinical decisions.
Discussion.
References.

Office of Education
Yale University
School of Medicine
367 Cedar Street
300 ESH
New Haven, CT
06519 USA



YSM Logo

Interview

 

She claimed that she had been healthy her entire life without any known medical problems other than occasional gastroesophageal reflux for which she takes a proton pump inhibitor.

Her current problems began about 3 months ago when she began to notice a decreased appetite and fatigue. This progressed and recently she noted more fatigue, numbness in her distal extremities, and dyspnea when she walked upstairs.

Her anorexia has continued and she states that she has a "sore throat all the time"; her weight has dropped 10 lbs over 3 months.

She denied any travel, unusual ingestions, chest pain, headache, cough, back pain, vaginal, or rectal bleeding.


Next: Physical examination