A 53-year-old female has had fatigue, weakness, and SOB with exertion during the past 4-5 days. Her family physician who was out of station recommended she had hemoglobin checked. The patient presented to the ER. The patient denied abdominal pain, chest pain, congestion, N/V/D/C, dysuria, headache, chills, hemoptysis, neck pain, rash, or sore throat. Symptoms were exacerbated by activity and relieved by rest and laying supine. She also felt palpitations intermittently.
Past Medical History (PMH) DM2. Medications Insulin Glargine, rDNA origin 25 mg SQ QHS, insulin lispro SSI SQ with Blood Glucose Monitoring TID. Physical Examination VS: mild tachycardia, no hypotension. General appearance: pale, non-icteric. Eyes: EOMI, PERRLA, sclerae non-icteric ENT: Oropharynx clear, no plaques or exudates Chest: CTA (B) CVS: Clear S1S2 Abd: Soft, NT, ND, +BS Ext.: no c/c/e Hemoglobin: 3.8 mg/dL…
