When the puzzle pieces don't fit, consider the whole patient

As practitioners, we risk missing something if we focus too narrowly on our specialty area
senior woman mobility walker walking frame
Patricia’s lack of cardiac symptoms in spite of her severe valve lesion suggests she might be less mobile than she admits

Patricia is 76 years old; a tall, slim retired shop manager.

Many months ago you referred her to a local cardiologist after she had come to you complaining of new ankle oedema.

Examination at the time revealed a loud midsystolic murmur.