Case of the Week: Psychiatry

From Graber and Wilbur’s Family Medicine Examination and Board Review, 4th Edition

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A 20-year-old female gymnast presents to you because she has missed her period for 6 months. She feels cold all the time and has noticed that when she crosses her legs, she gets pins-and-needles sensations down her leg. She had a stress fracture of her right tibia 5 years ago but denies any other medical history. She denies being sexually active and the review of systems is positive for frequent heartburn, constipation, and fatigue.

Question 1 of 8

Which of the following diagnoses would be in your differential?

A – Pregnancy

B - Hyperthyroidism

C - Malignancy

D - Anorexia nervosa (AN)

E - All of the above

Click HERE to view the progressive case and answer all 8 questions!

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Julie Grishaw, ACNP

Senior Editor, McGraw-Hill Education