pshycology test

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…hypertension; and the prescene of sympromatic dysrhythmsias (palpitations, syncopal or presyncopal episodes. Patients with valvular heart disease may be symptomatic for emobolic events. On physical examination, particular attention should be paid to VS, HR, BP, and PP (determinants of myocardial O2 consumption and delivery) , JVD, peripheral edema, pulmonary edema, or an S3 gallup and the presence of murmurs. Baseline labs include CXR, and ECG. Further evaluation may be determined based on results (Reich and Jaffee)