Diagnose this patient. A quiz...

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drkahhh

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Diagnose this patient the best you can. It's a quiz. Will post the actual outcome after a few good guesses from the group.

29 year old female. Fatigue, weakness, sore muscles, mind in a blur, low blood pressure, always feeling cold, unrefreshing sleep, dysmenorrhea. Patient has had some recent difficulty swallowing.

Here's the labs:

Triglycerides 50
Cholesterol Total 157
HDL 50
LDL 97
Glucose 93
Urea Nitrogen/BUN 9
Creatinine 0.6
BUN/Creatinine ratio 15
Sodium 139
Potassium 4.3
Chloride 107
Carbon Dioxide 23
Calcium 8.7
Protein total 6.6
Albumin 4.1
Globulin 2.5
Bilirubin 0.4
Alkaline Phosphatase 86
AST 43
ALT 36
WBC 5.3
RBC 4.27
Hemoglobin 12.0
Hemotocrit 36.3
Hemoglobin A1c 5.3
MCV 85.0
MCH 28.1
MCHC 33.1
RDW 13.3
Platelet count 277
Abs Neutrophils 4081
Abs Lymphocytes 901
Abs Monocytes 265
Abs Eosinophils 53
Abs Basophils 53
TSH 1.08
Thyroglobulin antibodies 129
Thyroid Peroxidase 226
T3 Total 210
T4 Total 14.7
C-Reactive Protein 0.25
Sed rate 6
Rheumatoid factor 4

Discuss.....

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What happened to the rest of this post? I am actually really curious about it.
 
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