Sondra Lee Evan is a 30-year-old female who presented for an obstetrics follow-up 6 weeks post-miscarriage. She was 10 weeks pregnant at the time of her miscarriage.
She has been off work since the miscarriage and complains of arthralgia and extreme fatigue as well as feeling "blah." She is not on any medications. She does take a multivitamin. Her other complaints include decreased appetite, joint swelling and stiffness, and difficulty sleeping.