What is the probable diagnosis? What are other possible diagnoses? At this stage

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What is the probable diagnosis?
What are other possible diagnoses?
At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why?
Please be specific and precise with answers. A table format or bullet points would be beneficial in presenting your information with clarity or organization.
Reference for management of the case study:
http://emedicine.medscape.com/article/331715-overview

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