A 27-year-old reports hoarseness with dry cough. Examination reveals inflamed vocal cords.

A. Gestational thrombocytopenia:

Gestational thrombocytopenia involves low platelet counts during pregnancy. Symptoms: Easy bruising or bleeding- not polydipsia, polyphagia, or poor wound healing. No relationship to elevated blood glucose.

B. Gestational diabetes mellitus: Gestational diabetes is high blood sugar that develops during pregnancy. Classic signs: polydipsia, polyphagia and polyuria. Non-healing wounds and infection risk due to impaired immunity and circulation. A1C of 8.5% clearly indicates poor glycemic control.

C. Gestational hypertension: High blood pressure during pregnancy. Symptoms: Headache, visual changes, swelling, not polydipsia, polyphagia, or infection.

D. Hyperemesis gravidarum: This causes severe nausea and vomiting during pregnancy leading to dehydration, electrolyte imbalances, and weight loss, but not high glucose or wound issues.

A. Tachycardia:

Tachycardia is not a primary symptom of Lyme disease; it may occur if there’s secondary heart involvement (Lyme carditis) but is not the most common symptom.

B. Joint pain:

Lyme disease often causes migratory joint pain, especially in large joints like knees, often appearing weeks to months after infection.

C. Dark Urine:

Dark urine is more typical in liver disease or hemolytic conditions, not Lyme disease.

D. Cold Intolerance:

Cold intolerance is associated with hypothyroidism, not Lyme disease.