Good evening, pls I need 4 differential

Good evening, pls I need 4 differential diagnosis, final diagnosis(how did you come up with the final diagnosis?), medication, plan and lab to be check and education. Can you pls add in citations and references for the differential diagnosis….here is the case study below. Thank you. A 42-year-old woman complains of fatigue for the past 6 months. She reported that she is tired all the time. She also reports frontal headaches several mornings per week, lower back pain, and intermittent lower abdominal pain relieved by bowel movements. She does not complain of trouble sleeping. Her past medical history of menorrhagia and iron deficiency anemia in her 20s is otherwise unremarkable. Her menses occur every 30 days, with bleeding for 3-4 days. Her family history is notable for thyroid disease in her mother and breast cancer in her paternal grandmother. She takes no medications, does not smoke, and does not drink alcohol. She has never used illicit drugs. She works as a teacher, and her husband is a security guard. They have 2 children, ages 9 and 12. She does not report any recent changes at home or work. She states she does not feel depressed, although she worries about money and her family. She has not lost or gained weight. On her physical exam, the patient appeared healthy, and her affect was normal. Her BMI is 35. HEENT exam is normal. There is no thyromegaly or adenopathy. Lungs are clear, and no breast masses. Cardiac and abdominal exams are normal, and there is no edema. Her CBC, glucose, electrolytes, BUN, creatinine, liver biochemical tests, and TSH are all normal. As a teacher, this patient raises at 6 am, leaves her house at 7 am, and returns home at about 5 pm. She prepares dinner for her family and helps her 2 children with their homework and grade papers until 9:30 pm. She watches a little television and then sleeps at about 10 pm. Her husband works from 3 pm to 11 pm, and she often wakes up when he gets home at midnight. They talk and watch TV for an hour, and he sleeps. However, she cannot fall back to sleep and will sit in bed and surf the internet on her phone for a couple of hours. She comments that she feels tired even when she sleeps straight through the night on the weekends, and her husband complains about her snoring. SCIENCE HEALTH SCIENCE NURSING MSN 572

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