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A 52-year-old female presents to her nurse practitioner in Nebraska with complaints of fatigue and constipation. The fatigue has been increasing over the past several months. She has otherwise felt healthy. Her family history includes a mother with breast cancer and systemic lupus erythematosus and a father with colon cancer. A physical examination reveals coarse hair, a doughy skin texture, and myoclonic reflexes. Auscultation of the heart, lungs, and abdomen reveals no significant findings. Laboratory testing reveals a hemoglobin of 13 g/dL and normal electrolytes. Of the following, which is the most likely diagnosis?
A. Multinodular goiter
B. Hashimoto’s thyroiditis
C. Graves’ disease
D. Subacute granulomatous thyroiditis
E. Papillary thyroid carcinoma
Please provide rationales for your selected answer choice
SCIENCE
HEALTH SCIENCE
NURSING
NURSING MSN 570
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