Please provide the patient's history so I can give a clinical diagnosis. Once I have the history, I can provide a differential diagnosis organized into the following categories:

• Single most likely diagnosis: This will be the diagnosis that best fits the patient's symptoms and history, based on the information provided.
• Other Likely diagnoses: These are diagnoses that are also possible, but less likely than the single most likely diagnosis.
• Do Not Miss (ddxs that may not be likely, but would be deadly if missed.): These are diagnoses that may not be the most likely, but are potentially life-threatening or have significant consequences if missed.
• Rare diagnoses: These are diagnoses that are unlikely, but should still be considered in the differential diagnosis.

Please provide the patient's history, including symptoms, medical history, and any other relevant information, and I will provide a differential diagnosis with brief justifications for each diagnosis.