Year Woman Comes Explained for Students (Easy Guide)

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Original Question

A 28-year-old woman comes to the office because of a headache for the past 2 weeks. The patient reports that the headache is dull, intermittent, 5/10 in severity and is occasionally associated with nausea and vomiting. She has never had such a headache before. She denies fever or visual abnormalities. She states she has been eating multiple vitamins daily for the past 8 months in an effort to “become slimmer” and “build muscle.” Past medical history is significant for body dysmorphic disorder. Family history is not significant. Vitals are within normal limits. BMI is 19 kg/m2. Physical examination shows dry skin and hepatomegaly. Neurological examination is nonfocal and shows no meningeal signs. Fundoscopy reveals papilledema. MRI of the brain is unremarkable. Which of the following is the most likely cause of this patient’s condition? Elimination tool Choose an option: Vitamin E excess Vitamin D deficiency Vitamin A excess Thiamine deficiency Folate deficiency

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