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A 28 yo women comes to doctor due to frequent episodes of dizziness and occasional fainting. When patient is weight she becomes distraught and says she has gained 7 lbs in last few days. Doctor asks if she is menstruating and seh says her period stopepd 8 days ago and she hates having it cause she gains weight. Her BMI is 22.2. During exam doctor finds poor dentition, bilateral parotid hypertrophy, scaring on left dorsum fo hand. At end of exam she starts crying and professes she is trying so hard to lose weight but nothing is working. 1. What is your diagnosis? 2. What lab result is likely down given this diagnosis? 3. What sort of metabolic disturbance can occur in these individuals?

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The General Principles section of the USMLE covers these topics:
Biochemistry
Genetics
Microbiology
Pathology
Pharmacology


1. A 28 yo women comes to doctor due to frequent episodes of dizziness and occasional fainting. When patient is weight she becomes distraught and says she has gained 7 lbs in last few days. Doctor asks if she is menstruating and seh says her period stopepd 8 days ago and she hates having it cause she gains weight. Her BMI is 22.2. During exam doctor finds poor dentition, bilateral parotid hypertrophy, scaring on left dorsum fo hand. At end of exam she starts crying and professes she is trying so hard to lose weight but nothing is working. 1. What is your diagnosis? 2. What lab result is likely down given this diagnosis? 3. What sort of metabolic disturbance can occur in these individuals?





 
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