Thursday, February 12, 2015

A Diagnosis of Love (for medics)

A patient comes in complaining of palpitations and dyspnoea (shortness of breath). She also mentions that occasionally she gets chest pains (stabbing pleuritic pain). 
Past medical history: Had asthma in childhood, but has been well for the past 3 years with an occasional attack once a year. 
Drug history: None. Tried paracetamol for the pain but didn't help. 
Family and social history: Lives alone, working as a nurse. No major illnesses in family. 
On examination, she is tachycardic (130/min), but otherwise fit and well. No other signs is observed. During history taking, she mentions that her palpitations get worse when she is with a certain person or talking to that person, and her chest pain worsens when that person looks happy with someone else.
Diagnosis: LOVE.
Treatment: ?

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