Need help with primary, secondary and differential diagnosis of this case study.
Mrs G, a 52 year old Hispanic female, presents to the office for sick visit. Lately she has been very fatigued and just does not seem to have any energy. She is also gaining weight since menopause last year. She joined a gym and forces herself to go twice a week, where she walks on the treadmill at least 30 minutes but she has lost very little weight. She states that exercise seems to make her even more hungry and thirsty, which is not helping her weight loss. She came to the clinic to discuss why she is so tired and get some weight loss advice. She also states she thinks her bladder has fallen because she has to go to the bathroom more, recently she is waking up twice a night to urinate. This is irritating to her, but she is able to fall immediately back to sleep