SOLVED715
A 61-year-old female presents to the clinic with a chief complaint of fatigue. She notes that she has gained 8 lbs since her last visit which she attributes to the fact that she has not been fast walking daily in the past few months because she is tired, and she just can’t handle the cold weather outside. PMH: HTN, Hypercholesterolemia, CAD Meds: lisinopril 10 mg daily, atorvastatin 20 mg daily PSH: complete hysterectomy, appendectomy Physical Exam Physical Examination is all within normal limits. BP 132/78, P 74, RR 12, O2 saturation 99% RA, T-96.3 (O) Her labs are below: Lab Result Reference Range Cholesterol— 204 mg/dL < 200 HDL-C---------- 44 mg/dL > 40 LDL————- 130 mg/dL 70-130 Triglycerides—146 mg/DL TSH —— 33.73 U/L 0.45-4.5 U/L Free T 4 — 4 pmol/L 10-26 pmol/L BUN 8 mg/dL 6 – 20 mg/dL CO2 25 mmol/L 23-29 mmol/L Creatinine 0.9 mg/dL 0.9 mg/dL Glucose 98 mg/dL 64-100 mg/dL Serum chloride 98 mmol/L 96-106 mmol/L Serum potassium 4.5 mEq/L 3.7 to 5.2 mEq/L Serum sodium 139 mEq/L 136-144 mEq/L Serum calcium 8.8 mg/dL 8.5 to 10.2 mg/dL Task Based on the lab findings above, provide differential diagnoses, as well as your final diagnosis. Explain
SCIENCE
HEALTH SCIENCE
NURSING
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