ABSTRACT
You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by her general practitioner with the following letter. Please read the letter and then review the patient.
Dear Doctor,
Re: Ms Katrina Fry
Age: 24 years
Thank you for your opinion on this young lady who has presented to the clinic on two occasions complaining of palpitations, associated with chest pain and breathing difficulties. On both of these occasions the duration of her symptoms were short lived and she was well when she arrived in the consulting rooms. She tends to drink a lot of coffee and I suspect this is the cause but still your opinion on excluding more serious pathology would be appreciated.
Yours sincerely
P.S. Unfortunately our ECG machine is broken so I was unable to forward tracing today.
