Approach to unintentional weight loss Quiz: Ace Your Exams
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A 42-year-old woman presents to the primary care clinic for an annual visit. Over the past year, the patient has unintentionally lost 15 lb. (kg). On her last visit last year, she weighed 151 lb., and she now weighs 136 lb. (kg). For the past few months, she has had palpitations and diarrhea. She has not had difficulty swallowing, abdominal pain, bloating, nausea, night sweats, or fever. She has no known medical history and takes no medication. Her mother has rheumatoid arthritis. Temperature is 37.0 ºC (98.6 ºF), pulse is 106/min and regular, respiratory rate is 16/min, and blood pressure is 142/90 mmHg. There is no abdominal tenderness to palpation. Proximal muscle strength is 4 out of 5 in the upper and lower extremities bilaterally; distal extremities show 5/5 strength. Which of the following diagnostic tests would most likely confirm the underlying cause of this patient’s weight loss?
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