TEST YOUR KNOWLEDGE - A masquerade in a symptomatic patient with heart failure
https://doi.org/10.51866/tyk.291
- Author:
Jazlan Jamaluddin
1
;
Mohd Azzahi Mohamed Kamel
2
;
Siti Nuradliah Jamil
3
Author Information
1. MD (Moscow), MMed (Family Medicine) (UiTM) Klinik Kesihatan Sauk, Jalan Besar Lenggong, Sauk, Kuala Kangsar, Perak, Malaysia
2. MD (Crimea), MMed (Family Medicine) (UiTM) Klinik Kesihatan Lenggong, Jalan Besar, Kampung Batu Berdinding, Lenggong, Hulu Perak, Perak, Malaysia.
3. MBBS (UiTM), MMed (Family Medicine) (UiTM) Klinik Kesihatan Pasir Gudang, JKR 5376, Jalan Kejiranan 8/1, Johor Bahru, Johor, Malaysia.
- Publication Type:Journal Article
- Keywords:
Heart failure;
Geriatrics;
Primary healthcare
- MeSH:
Heart Failure;
Geriatrics;
Primary Health Care
- From:Malaysian Family Physician
2023;18(All Issues):1-3
- CountryMalaysia
- Language:English
-
Abstract:
We describe the case of a 72-year-old housewife who presented to a primary care specialist clinic for reassessment following multiple hospitalisations for heart failure within the past 9 months. She presented with decreased effort tolerance and tiredness for the past 1 year. Her symptoms had remained the same despite current treatment. During the initial history-taking, she did not report any medical illnesses or surgeries. She had been well and had not undergone any screening for almost 30 years before the first hospitalisation for heart failure. There was neither cough, constipation, dyspepsia, abdominal pain, stool changes, haematuria, per vaginal bleeding nor hoarse voice. The physical examination findings were remarkable for slow movement and speech. Her skin was dry with a markedly increased serum lipid profile. Further investigation and management confirmed the suspected diagnosis.
- Full text:202508211230241983118.19TYKAmasqueradeinasymptomatic1.pdf
