would you provide a differential for a 39 y/o ? she has a pmh of active sjogrens syndrome s/p corneal ulcer with secondary raynauds, a h/o meningioma , hemangioma , arthritis, neuropathy , hypoglycemia and classic migraine with aura.Fam hx family history notable for Parkinson s and cancer of multiple sites. I will also send current symptoms and objective findings.