Your patient is a 72-year-old male patient who is conscious but slow to respond to questions and commands. He has become increasingly lethargic, unemotional, and easily fatigued over the past two months. He has had a decreased appetite and has gained weight over the same period. The patient further states, "I'm constipated and always cold." Which of the following additional signs or symptoms would be consistent with this patient presentation?

A) A "moon-faced" appearance and hyperpigmentation of the skin
B) A puffy face, an enlarged tongue, and pale, doughy skin
C) Hypothermia, tachycardia, and hypertension
D) Goiter, atrial fibrillation, nausea, and vomiting

B