A 44-year-old female has frequent anxiety attacks and a heart murmur. What should be included in her further evaluation?

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The inclusion of an echocardiogram, Doppler, and EKG in the evaluation of a 44-year-old female with anxiety attacks and a heart murmur is appropriate as these tests are critical for assessing any underlying cardiac issues that may be associated with her symptoms. The echocardiogram is particularly useful in visualizing cardiac structures and function, helping to identify any potential valvular abnormalities or structural heart diseases that might explain the heart murmur.

The Doppler assessment provides valuable information about blood flow across the heart valves and can help determine if there is turbulence or any other anomalies associated with the murmur. The EKG complements these tests by evaluating the electrical activity of the heart, which can reveal potential arrhythmias or other electrical disturbances that might contribute to the patient's episodes of anxiety or palpitations.

Other options, while they may include relevant aspects of patient care, do not provide a comprehensive evaluation for the symptoms presented. For instance, conducting a flat plate of the abdomen and lipid profile would not specifically address the heart murmur or anxiety attacks. Labs and benzodiazepines focus primarily on managing anxiety symptoms without assessing potential cardiac issues. Similarly, an EEG and anxiety scale would help evaluate the mental health aspect but would neglect the equally

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