differentials for A healthy 49-year-old female with past medical history

differentials for A healthy 49-year-old female with past medical history of Type 1 Diabetes mellitus presents to her primary care provider after complaining of increasing fatigue for the past 4 to 5 months. She exercises 3-4 days per week, but lately has noticed feeling short of breath while walking 1-2 miles. She denies orthopnea, paroxysmal nocturnal dyspnea (PND), or swelling in her ankles. She reports occasional joint pain, for which she takes over-the-counter ibuprofen. She denies any bowel changes, melena, or bright red blood per rectum. However, she reports she noticed left-sided abdominal pain for a few months on-and-off, not related to food intake. She denies fever, chills, nausea, or vomiting. She is still having normal menstrual cycles that can be heavy at times.

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