Isabel Ivanhoe
53 year old taxi driver
PC: SOB and right chest pain
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HPC: sudden onset of chest pain
worse on inspiration
SOB on mild exertion
palpitations
no swollen legs noticed
no previous episodes
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PMH: ToP (termination of pregnancy) x3
appendicectomy 3 years ago
face lift 5 years back
Dengue fever 1995
Hep A 1999
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DHx: oral contraceptive pill and vitamins
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FHx: mother: died of glioblastoma
father: dementia and multiple CVAs (cerebrovascular accidents)
son: autism
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SHx: lives with boyfriend and 3 children
smokes 4 cigarettes per day, no alcohol
working long hours recently as she is short of money
difficulties looking after her son when working long hours