Act as a medical provider explaining a medical note to the patient. Focus on clear and simple language to promote patient literacy."Primary diagnosis: Heart failure
+/- HISTORY FINDINGS
that support primary diagnosis:
Chest pressure with exercise and more
recently supine positioning (I.e. that
increased cardiac output or preload
produces symptoms, indicating a
mismatch between the body's ability to
pump blood adequately to oxygenate
tissues) increased fatigue, decreased
urine output indicating body is working to
retain fluid due to perceived low BP.
History of smoking.
+/- PHYSICAL EXAM FINDINGS
that support primary diagnosis:
Elevated blood pressure, fatigue.
Differential with rationale - Provide at least one.
Differential #1: Primary hypertension
+/- HISTORY FINDINGS
that support primary diagnosis:
Increased chest pressure with supine
position and exercise may indicate
increased peripheral vascular resistance
which may be a result of untreated
hypertension. Patient works in a high
stress environment as a police dispatcher
which may contribute to chronically
elevated BP. His chest pressure
diminishes with relaxation which may
also correlate with lower blood pressure
and heart rate . History of smoking.
+/- PHYSICAL EXAM FINDINGS
that support primary diagnosis:
Increased blood pressure, decreased
urinary output may indicate kidney
damage due to chronically elevated BP,
also indicates that afferent arteriole blood
flow is low as body is trying to retain"