Get Answer: Unexplained Weight Gain Question Guide
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This question relates to unexplained weight gain and requires a structured academic response.
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Key Explanation
This topic involves unexplained weight gain. A strong answer should include explanation, application, and examples.
Original Question
CC: unexplained weight gain for the past year History of Present Illness A 34-year-old Caucasian woman presents to her PCP with a 1-year history of weight gain despite efforts to eat healthy and increase physical activity. She is married and a mother of three children, 13-year-old twin boys and a 6-year-old girl. She states she did not pay attention to the gradual weight gain until about 4 months ago, when she began making efforts to lose weight to include walking and eating less fast food. Review of Systems The patient’s ROS is positive for a 25-lb weight gain over the past year. Her last menstrual period was 2 weeks ago. Her ROS is negative for fatigue, dry skin, acne, fever, thinning hair, hypertension, swelling, weakness, reduced exercise tolerance, abdominal pain or distension, constipation, excessive hair growth, nipple discharge, anxiety, depression, substance abuse concerns, cold intolerance, difficulty sleeping, snoring, joint pain, polydipsia, or polyuria. Relevant History The patient’s relevant history includes vitamin D deficiency. She smokes half a pack of cigarettes per day. The patient admits she is less active than she used to be and consumes a diet high in carbohydrates. She denies alcohol or illicit drug use. She lives with her husband and describes it as stressful. Her family history is positive for type 2 diabetes mellitus, hypertension, hyperlipidemia, and early heart disease. Allergies No known drug allergies; no known food allergies. Medications •​OTC multivitamin daily. •​Vitamin D 50,000 IU weekly. Physical Examination Vitals: T 36.7°C (98.1°F), P 70, R 18, BP 116/77, HT 170 cm (67 in.), WT 93 kg (205 lbs), BMI 32.1. General: Obese and well groomed in no acute distress. Psychiatric: Normal mood and affect. Skin, Hair, and Nails: Skin warm and dry with no excessive facial hair or rash. No abnormal findings with nails. Neck: Thyroid is normal size; consistency and is non-tender. Lungs: Clear to auscultation bilaterally. Heart: RRR, radial pulse 2+ bilaterally. Lymphatic: Nonpalpable cervical nodes Abdomen: Rounded, non-distended, soft, non-tender, normal bowel sounds. Musculoskeletal: No extremity edema. FROM both upper and lower extremities, bilateral. Neurologic: A&O×3 without tics or tremors What is the most likely diagnosis? Why?
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