Which diagnosis is best supported with clinical evidence

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66 year old Diabetic female presents for follow up visit. Patient status post CVA, currently resides with daughter. Patient has persistent profound left sided weakness due to the CVA and still receives a majority of her calories through her PEG tube. One year ago, the patient underwent a right hemicolectomy with ileostomy for a suspicious, large colon polyp. The patient returned six months later for an ileocolostomy. Patient has lost 25% of her body weight since CVA and BMI is now 17.4. Recent labs/tests findings: Monofilament test findings indicate no sensation bilaterally. Physical Exam: Cachexia Medications: Metformin 1000mg daily, Gabapentin 300mg tid, Vitamin D, Multivitamin Plan: Will adjust Metformin today, Continue PT, Schedule Ophthalmology consult for proliferative retinopathy. Lab work today. Given the information provided above, which diagnosis is best supported with clinical evidence.

Reference no: EM133806627

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