Raise suspicion of hormonal imbalance

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Reference no: EM133820668

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Review the electronic health record and select the assessment findings in the Progress Notes that raise suspicion of a hormonal imbalance. Patient Information Progress Notes Vital Signs Laboratory Results Date/Time Provider Progress Notes 04/17/20XX 1500 ? ? Chief Complaint: 45-year-old male presents with complaints of persistent fatigue, unexplained weight gain, and difficulty concentrating at work. ? Past Medical History: Negative; client and spouse undergoing an infertility evaluation ? Current Medications: OTC multivitamin; occasional OTC pain reliever; no prescription medications ? Family History: Mother history of thyroid dysfunction; father has type 2 diabetes; paternal grandmother experienced early-onset menopause? Physical exam completed: General Appearance: Appears fatigued; mild puffiness around eyes; central obesity, with increased abdominal girth. Reports feeling cold despite the clinic being at a comfortable temperature. ? Skin: Dry skin and brittle nails noted. No obvious rashes or lesions. ? Head and Neck: No palpable thyroid nodules or enlargement. Pupils equal and reactive to light. ? Cardiovascular: Regular heart rate and rhythm with no murmurs or abnormal sounds. ? Respiratory: Clear breath sounds bilaterally. ? Abdomen: Soft, non-tender abdomen with no palpable masses. Increased adiposity concentrated in the abdominal region. ? Neurological: No focal neurological deficits. Cranial nerves intact. ? Musculoskeletal:

Reference no: EM133820668

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