Problem:
S.S. is a 35-year-old, African American female presenting with complaints of fatigue, weakness, and shortness of breath with minimal activity. Her friends and family have told her she appears exhausted, and combined with her recent symptoms, she has decided to get checked out. She also noticed her hair and fingernails becoming extremely thin and brittle, causing even more concern. The patient first started noticing these symptoms a few months ago and they have been getting progressively worse. Medical History Diagnosed with peptic ulcer disease at age 21 - controlled with PPI pharmacotherapy IUD placement 3 months ago - reports an increase in menstrual bleeding since placement Surgical History No past surgical history reported Family History Mother alive at 50 years old Diagnosis of iron deficiency anemia at 24 years old during pregnancy with patient - on daily supplement Otherwise healthy Father alive at 52 years old Diagnosis of hypertension - controlled with diet and exercise Otherwise healthy No siblings Social History Vegetarian - patient states she has been having weird cravings for ice cubes lately Living alone in an apartment close to work in a lower-income community Works full time at a clothing department store Medications Omeprazole 40 mg po. Need Professional Help?