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A 75 year old woman complains of lethargy ... - BP

Chart

A 75 year old woman is seen in her physician's office with a chief complaint of a two month history of lethargy, swelling in lower portion of her neck (goiter) and coarse skin.

Ultrasensitive TSH markedly increased. Decreased free T4. High cholesterol.

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Systolic:  

Diastolic: 





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