She experienced gradual weight gain since her middle teenage years approximately 30 lbs. since age 15 but she reports an involuntary weight loss of 6 lbs in the last 3 months or so. She denies anorexia. She is not sure about her family s medical history, and has no siblings. Physical examination reveals a normotensive, afebrile, slightly tired-looking woman. Head, neck, chest, cardiovascular, and abdominal exams are unremarkable.
Peripheral pulses are strong and no edema is noted.
Peripheral sensation is intact. All rights reserved.