### Patient: Doctor, I've been experiencing anxiety and nervousness lately, along with some emotional symptoms. I've also been having back pain, wrist weakness, and elbow weakness. What could be causing all of these symptoms?
### Doctor: Based on your symptoms, it's possible that you have tricuspid valve disease. This condition can cause a range of symptoms, including anxiety and nervousness, emotional symptoms, and weakness in the wrist and elbow. The back pain may also be related to the disease, as it can sometimes cause swelling and fluid buildup in the abdomen, which can put pressure on the back. I'll need to conduct some further tests and exams to confirm the diagnosis, but we'll work together to develop a treatment plan that will help you manage the symptoms and improve your quality of life.