Review Question - QID 109772

A 52-year-old woman presents to her primary care physician with diarrhea. It has been going on for the past month and started after she ate a burger cooked over a campfire. She lost 10 pounds during this time. The patient has no other complaints other than hoarseness which has persisted during this time. She has a medical history of obesity, hypothyroidism, diabetes, and anxiety. Her current medications include insulin, metformin, levothyroxine, and fluoxetine. She currently drinks 4 to 5 alcoholic beverages per day. Her temperature is 99.5°F (37.5°C), blood pressure is 157/98 mmHg, pulse is 90/min, respirations are 15/min, and oxygen saturation is 98% on room air. On physical exam, the patient is noted to be a healthy obese woman. Cardiopulmonary exam is within normal limits. HEENT exam is notable for a mass on the thyroid. Abdominal exam is notable for a candida infection underneath the patient's pannus. Pelvic exam is notable for a white, fish-odored discharge. Laboratory values are as follows:

Hemoglobin: 12 g/dL
Hematocrit: 36%
Leukocyte count: 4,500 cells/mm^3 with normal differential
Platelet count: 190,000/mm^3

Serum:
Na+: 141 mEq/L
Cl-: 102 mEq/L
K+: 5.5 mEq/L
HCO3-: 24 mEq/L
Glucose: 122 mg/dL
Ca2+: 6.1 mg/dL

Which of the following could also be found in this patient?