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Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Scenario #1 - Reba RamblerReba: This patient is a 45 year old female who comes
in today with shortness Preceptor: Why do you think she is short of breath? Reba: When I looked in her chart, she has a history of iron deficiency anemia which seems to be related to postmenopausal bleeding. Postmenopausal bleeding stopped when she was put on hormonal replacement therapy but I wonder if she could still be iron deficient. She does not have any signs of congestive heart failure. She has not been in any arrhythmia's. She is on the hormonal replacement therapy and she could have developed a PE. Dealing with Reba
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Community-Based
Teaching Benefits - Strategies for Teaching in a Busy
Practice Page last updated:
February 24, 2003
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of breath, cough, and a fever. She said she has
had a stuffy nose for
a few weeks ago that just has not gone away, and has progressed down
into her lungs. When she coughs, she says, she wakes up everyone in the
house, and has trouble sleeping at night due to the cough. She said that
her children are worried about her and wanted her to be checked out by
a physician. I talked to her about things that could cause a cough. She
is not on an ACE-inhibitor. She did not sound like she had symptoms of
reflux. And, it is not really that time of the year that we would be
seeing adult pertussis. She is not a smoker. 
What
are three reasons that come to mind for the resident's seeming inability
to make a commitment? 
