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2 year old F presents with fatigue, sleep disturbance, HA, blurred vision, and depressed mood for 2 months. Her hx notable for anemia requiring multiple transfusion. She has butterfly shaped rash around eyes and on cheeks. Also c/o intermittently aching joints and diarrhea. Clinical presentations of this patient suggests

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Psychiatric-Mental Health NP Certification.
 


1. 2 year old F presents with fatigue, sleep disturbance, HA, blurred vision, and depressed mood for 2 months. Her hx notable for anemia requiring multiple transfusion. She has butterfly shaped rash around eyes and on cheeks. Also c/o intermittently aching joints and diarrhea. Clinical presentations of this patient suggests





 
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