Ms Jones Frequently Visits the Emergency Department with Complaints of Chest

Ms. Jones frequently visits the emergency department with complaints of chest pain, shortness of breath, dizziness, sweating, and nausea. Her EKG, imaging studies, cardiac enzymes, lipids, and metabolic panel results have all been normal. She presents to a primary care follow-up appointment requesting a cardiology referral. What actions do you perform to assess the appropriateness of a referral?

A) Assess for thyroid dysfunction and substance use.
B) Obtain a detailed history of symptoms including precipitating factors, duration, and factors that relieve or exacerbate symptoms.
C) Administer a Generalized Anxiety Disorder scale (GAD-7) .
D) b and c
E) All of the above