40 yr old female tall average weight patient came due to acute dizziness for 1 month.
James: "how is your appetite and digestion?"
pt: "fine except for chronic constipation and sl nausea at times."
James: "when is your dizziness worst?"
pt: " before menstruation"
other s/s: sl fatigue around 5 pm, hot flashes, excessive sweating in palms and feet worse with anxiety occasional palpitation good appetite pms pain
upon palpation, left side ST 25 area is tender.
TX: LV2 - HT 8- LV 8 +
left side st 25 tenderness is almost gone.
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