A client was diagnosed with depression resulting from the lo…

A client was diagnosed with depression resulting from the loss of her twin sister in a skiing accident. Her parents reported that all the client has done since the accident was lay in her bed and cry, asking why she survived the accident. The physician prescribed Prozac to treat the depression and suggested that the parents “keep a close eye on her.” After a week, the client began to show some signs of improvement, even coming out of her room to eat with the family. After 2 months, the client committed suicide despite seeming to come out of the depression. What is the likeliest reason?

A 50-year-old female presents to the clinic with complaints…

A 50-year-old female presents to the clinic with complaints of intermittent palpitations that have been occurring for the past month. She describes the palpitations as a “fluttering” or “racing” sensation in her chest, lasting for 1-2 minutes at a time, occurring primarily at rest or during times of increased stress. She denies chest pain, dizziness, or shortness of breath. Her medical history includes hypertension, obesity, and a 15-pack-year smoking history. She takes an ACE inhibitor for her hypertension and uses over-the-counter caffeine-containing products regularly. Her family history is significant for heart disease, with her father having a myocardial infarction at age 55. On examination, her blood pressure is 135/85 mmHg, heart rate is 78 bpm, and her physical exam is otherwise unremarkable. Which is most likely contributing to this patient’s palpitations?