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nd sleepy Eyes (pale palpebral conjunctiva) Nail beds are pale upon inspection Lips are pale and dry Presence of fistula on her left arm With generalized muscle weakness Shortness of breath Tuesday, 11/12/13 Fatigued & weak Eyes (pale palpebral conjunctiva) Nail beds are pale upon inspection Lips are pale and dry Presence of fistula on her left arm With generalized muscle weakness