What is the most likely diagnosis

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Assignment:

A 55-year-old woman presents to you with progressive memory loss and fatigue over the last 6 months. She has no particular findings on her medical history and she takes no prescription medications. She does take a multivitamin. She worked in a laundry mat but was fired 2 weeks ago. Her vital signs are: temperature 36 °C, heart rate 50 beats/minute, blood pressure 105/65 mm Hg, respiratory rate 16 breath/minute, and oxygen saturation 99% on room air. Her hair is fragile and she has lost the outer third of her eyebrows. Her neck, heart, lung, and abdominal examination results are normal. Her strength is normal, but the relaxation phase of her deep tendon reflexes is prolonged. Her thyroid-stimulating hormone (TSH) leve is 15 mU/L (normal range, 0.5-5 mU/L), and her free thyroxine (T4) level is undetectable. What is the most likely diagnosis?

Reference no: EM133383251

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