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Patient Profile: Stress, Anxiety, and Health

Peter Carter, a 42-year-old accountant, reports increased stress, alcohol intake, and smoking, alongside a medical history of prediabetes and anxiety-induced arrhythmia. He presents with dizziness, fatigue, and heightened anxiety, requesting to discontinue propranolol due to side effects. The plan includes referrals for cardiology and psychology, along with recommendations for dietary changes and exercise.

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ngochan26062005
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4 views1 page

Patient Profile: Stress, Anxiety, and Health

Peter Carter, a 42-year-old accountant, reports increased stress, alcohol intake, and smoking, alongside a medical history of prediabetes and anxiety-induced arrhythmia. He presents with dizziness, fatigue, and heightened anxiety, requesting to discontinue propranolol due to side effects. The plan includes referrals for cardiology and psychology, along with recommendations for dietary changes and exercise.

Uploaded by

ngochan26062005
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

PATIENT DETAILS

 Name: Peter Carter


 DOB: 10 August 1982 (42 y.o.)
 Address: 123 Elmwood Drive

Social Background

 Accountant – works long hours with frequent stress during tax seasons
 Divorced, co-parenting one son (8 y.o.)
 Reports stress related to balancing work and personal life
 Alcohol intake: Increased from 8 ➔ 30 units/week since 2021
 Smokes 10 cigarettes/day
 BMI 28 (overweight) – occasional light jogging but no structured exercise

Family History

 Father passed away at 60 from a stroke


 Mother diagnosed with Type 2 diabetes at 55

Medical History

 5 April 2022: Diagnosed with prediabetes during a routine check-up (HbA1c 6.2%)
 10 May 2022: Presented with persistent headaches and elevated blood pressure (150/95
mmHg)
o Prescribed lisinopril 10mg/day for hypertension
 20 Nov 2022: Developed palpitations and mild chest pain during light exercise
o Emergency evaluation ruled out myocardial infarction; diagnosed with anxiety-
induced arrhythmia
o Started on propranolol 10mg as needed

Presenting Complaint

 Reports frequent episodes of dizziness and fatigue over the past two weeks
 Notes increased anxiety and difficulty focusing at work
 Patient requests discontinuation of propranolol due to side effects

Plan

 Referral to cardiologist for further evaluation of arrhythmia and medication review


 Schedule a session with a psychologist to address anxiety and stress management
 Recommend dietary modifications and a structured exercise program

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