04-13-2011, 01:11 PM
Posted: Thu Oct 01, 2009 2:14 pm Post subject: A 70-year-old woman comes to the physician because of fatigu
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44/'A 70-year-old woman comes to the physician because of fatigue and increasing difficulty in her daily functioning over the past 2 months. During the day, she lies in bed for hours and cries. She has had a 10.9-kg (24-lb) weight loss over the past 4 weeks, eats only cookies, has lost interest in almost everything, and wishes to kill herself. Her husband died 4 months ago. Physical examination and laboratory studies show normal findings except for decreased serum albumin and total protein levels. Which of the following is the most likely diagnosis?
A) Adjustment disorder with depressed mood
B) Bereavement
C) Bipolar disorder, depressed
D) Dysthymic disorder
E) Major depressive disorder
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44/'A 70-year-old woman comes to the physician because of fatigue and increasing difficulty in her daily functioning over the past 2 months. During the day, she lies in bed for hours and cries. She has had a 10.9-kg (24-lb) weight loss over the past 4 weeks, eats only cookies, has lost interest in almost everything, and wishes to kill herself. Her husband died 4 months ago. Physical examination and laboratory studies show normal findings except for decreased serum albumin and total protein levels. Which of the following is the most likely diagnosis?
A) Adjustment disorder with depressed mood
B) Bereavement
C) Bipolar disorder, depressed
D) Dysthymic disorder
E) Major depressive disorder