Joyce is seen in the clinic complaining of vague symptoms of feeling nervous and irritable and that her hair will not hold a permanent wave anymore. On physical examination, the clinician finds an irregular heartbeat and brisk reflexes.
The differential diagnosis should include which of the following conditions?
a. Myxedema c. Cushing's syndrome
b. Thyrotoxicosis d. Pan-hypopituitarism
Question 2
A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives. Following this, she has diarrhea for a couple of days. She temporarily feels better after a bowel movement.
She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be?
a. Obtain a complete history.
b. Order a barium enema.
c. Schedule a Bernstein's test.
d. Prescribe a trial of antispasmodics.
Peripheral nervous system PNS Diagram
human nervous system
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