You are the SHO in medical clinic. You received a referral from a G.P.
Dear Doctor,
Thank you for seeing miss R, 16 year-old Malay lady who complained of reduced effort tolerance for the past 2 months. Her FBC and ECG are both normal. Kindly see her for further assessment and management. Thank you.
Sincerely,
Dr G.P
Please take history from this patient and perform necessary physical examination. You are also required to answer to her concerns.
This is the patient:
What do you think is the most likely diagnosis? How would you approach?
(Special thanks to my ophthalmology colleagues for providing the photos above)
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