Case Presentation. Linda White, PA-S. Chief Complaint. “ I am short winded and tired. Also when I eat it feels like the food sits in my chest.”. History of Present Illness.
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60-yo African American female presents with a history of severe fatigue, dyspnea, and dysphagia. Fatigue has developed over past 6 months and is worse upon exertion. Dysphagia is to both solids and liquids.Admits to a 60 lb weight loss and feeling “dizzy” on occasion. Also admits to episodes of constipation and alternating diarrhea. Denies chest pain, syncope, blood per rectum or other GI complaints.