HISTORY OF PRESENT ILLNESS:,  The patient is a 69-year-old single Caucasian female with a past medical history of schizoaffective disorder, diabetes, osteoarthritis, hypothyroidism, GERD, and dyslipidemia who presents to the emergency room with the complaint of "manic" symptoms due to recent medication adjustments. 
HISTORY OF PRESENT ILLNESS : , The patient is a 69 - year - old single Caucasian female with a past medical history of schizoaffective disorder , diabetes , osteoarthritis , hypothyroidism , GERD , and dyslipidemia who presents to the emergency room with the complaint of " manic " symptoms due to recent medication adjustments .