17-year-old girl is seen for her initial health supervision visit with you. She recently moved into the area from another state, where she was being treated with levothyroxine because of a thyroid disorder. Although her thyroid hormone levels have been under good control, she has recently become increasingly tired during the day. She is on her high school soccer team but has had difficulty finishing practices because of fatigue. She denies jaundice, vomiting, abdominal pain, easy bruisability, sleep disturbance, or any musculoskeletal symptoms. Physical examination demonstrates a well-developed, pleasant, and cooperative young woman. The remainder of the physical examination findings are unremarkable. Screening laboratory tests demonstrate the following: • Hemoglobin, 12.1 g/dL (121 g/L) • White blood cell count, 8,000/μL (8 x 109/L) • Aspartate aminotransferase, 125 U/L; reference range,
Posted on: Mon, 06 Oct 2014 08:30:26 +0000
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