A 37-year-old female presents to the office for feelings of…
A 37-year-old female presents to the office for feelings of dizziness and palpitations. She reports some weight loss and increased bowel movements. She has a past medical history of Gerd and takes Protonix. She drinks 2-3 glasses of wine a week but denies smoking and drug abuse. On exam, you note the following: T: 98.8, HR 133, RR 12, BP 140/88; BMI 27 HEENT: Normal Cephalic head, sclerae and conjunctiva normal, mild protrusion of the globes bilaterally, tympanic membrane is reflexive and clear, thyroid is normal CVS: S1 and S2, tachycardic no murmurs, rubs or gallops Lung: Clear bilaterally, no rales, rhonchi or wheezing Abdomen: soft, non-tender/non-distended and normal bowel sounds Extremities; no edema, normal sensation The following are her fasting lab results: Glucose 110 Electrolytes- normal WBC 6,000 Free T4- 3.3 ng/dL (Normal 0.7-1.5 ng/dL) T3- 0.9 ng/dL (Normal 0.2-0.5ng/dL) TSH 0.02mIU/L (Normal 0.3-4.5 mIU/L) What is the next best step for this patient?