When caring for women across diverse cultures, answer the following

A 42-year-old man has chronic fatigue that has lasted almost an entire year. He also reports shortness of breath when he lays down and states that the shortness of breath is mitigated when he props his head up with several pillows. He also has shortness of breath when walking a few steps, but this ceases when he is at rest. He denies any other constitutional symptoms such as pain or rashes. His medications are atorvastatin (Lipitor), metformin (Glucophage), and amlodipine (Norvasc). The patient’s temperature is 98.3 degrees Fahrenheit, HR is 80, RR is 16, and BP =is140/90. A physical exam reveals crackles in the basilar region of his lung. Which of the following is most likely responsible for his fatigue? . A. Depression B. Hypothyroidism C. Systemic lupus erythematosus O D. Congestive heart failure

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