Patient: Emma Hernandez, Female, Age: 29

Patient mentions recurring headaches, constant fatigue and mild dizziness

Feels moderate discomfort during intense physical activity

Patient denies any recent trauma or injuries

No known drug allergies

Height: 5'4", Weight: 135 lbs.

Patient's vital signs within normal range

Physical exam found no significant abnormalities

No signs of distress, normal heart and lung sounds

Laboratory tests ordered

Patient's symptoms may indicate chronic fatigue syndrome (CFS)

However, further diagnostic tests are needed to make definite conclusions

Depression and anxiety ruled out based on Patient Health Questionnaire (PHQ-9) score

Lab results awaited to rule out any underlying metabolic or infectious disease

Patient to follow up after laboratory results are available

Advise patient to maintain good sleep hygiene and balanced diet

Patient referred to nutritionist and physiotherapist to aid in managing energy levels and handling fatigue

Suggest regular 3-month review for monitoring fatigue levels