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A 43-year-old female comes to the clinic complaining of excessive weight gain, trouble concentrating, fatigue, constipation, no menstrual periods for 4 months, and hair loss. No other medical history.
Overweight female with puffy face, brittle nails and obvious hair loss. Client has low interest in answering questions. Lungs clear to ausculation, all peripheral pulses palpable, bowel sounds hypoactive in all quadrants.Â
Vital signs Temp 96.4° F, BP 125/54, HR 54 bpm, Respiratory rate 13 breaths/min, & Oxygen Saturation 99%
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