45 yr old woman comes to your
45 yr old woman comes to your clinic after feeling faint earlier this am while exercising. She says she was hydrated and not too hot and always [last 5 years] does this same workout daily. She does add that over the last 2 months she has lost ~ 20 lbs without doing anything different. She says she is sweating much more frequently, has multiple bowel movements/day, and her menses has become more irregular. Bp = 130/80 p = 112 rr = 16. She has trouble sitting still during the PE. Her skin is moist and warm to touch, she has mild proptosis bilaterally and the rest of her PE is wnl. Earlier in the day her labs were drawn with the following: TSH = .5, T3 = 300 T4 = 25 3 Diffs diagnosis with rationale= Diagnostics/ labs Management SCIENCE HEALTH SCIENCE NURSING NURSING 7642
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