SOLVED674

JT is a 36 year old African American female who presents to your primary practice today for yearly physical evaluation. Patient states that for the past two months she has been experiencing routine bouts of fatigue and generalized weakness. She states that nothing has changed in her daily routine. She denies symptoms of shortness of breath and vertigo. She reports she has some strange cravings for ice chips lately and the occasional swelling of her tongue. No other complaints or concerns at this time. Vital signs today include a temperature of 37 degrees Celsius, BP 120/82 mmHg, HR 75 bpm. She has a past medical history of depression which she takes fluoxetine 20 mg PO daily, and anorexia. The only other therapy she takes is a daily multivitamin. Social history is negative for smoking and drinking and non contributory. She states she is a vegetarian. You decide to order the following laboratory tests : CBC, Thyroid function tests,MCV, and BMP. BMP and Thyroid function tests are unremarkable. CBC results in the following abnormalities: RBC – 3.9 X 1mil/uL, and Hemoglobin = 9.7. MCV = 65 fL. Upon seeing these results you place an order for serum ferritin and TIBC which
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