Pt is a 66 yo female who comes to her PCP for c/o nausea, monocular visual loss and dizziness. She has a PMH of HTN, DM2, and HPL. She has had these symptoms for the past few weeks and the episodes come and go but they have occurred more frequently this week. They come on suddenly and disappear within a couple of minutes
PSH: Bilateral cataracts 1 year ago with lens implants.
Medications: Lisinopril 10 mg po daily
Janumet XR 100/1000mg po daily
Crestor 10mg po daily
Describe your approach to this patient, questions asked in ROS, focused physical exam highlights, diagnostics ordered.
Work through the VINDICATE format and provide your diagnosis and differentials.
Explain what abnormal physical assessment signs you will see that support your diagnosis. Please remember to have justification for ROS, focused PE, diagnostic testing ordered and diagnosis and differentials.
Please list at least 3 differential diagnoses (top three and your primary diagnosis).
