Question

A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan. The following blood work results were obtained: Thyroid Function Tests: T4: 4.5 µg/dl T3: 70 ng/dl TSH: 5.4 IU/L Electrolytes: Chloride: 100mEq/L Potassium: 4.9 mEq/L Sodium: 125 mEq/L Calcium: 11.2 mg/dl Magnesium: 1.5 mg/dl Phosphorus: 2.0 mg/dl Based on the information provide above in Scenario 2, answer the following question:

1) List specific values from the blood work related to the thyroidectomy.

2) Based on your answer from Question 6, briefly explain how the values from the Thyroid Function Tests are associated with the patient’s history of thyroidectomy.

3) Based on your answer from Question 6, briefly explain how the values from the Electrolyte tests are associated with the patient’s history of thyroidectomy.

4) Explain how this patient’s presentation and examination findings are associated with the patient’s history of thyroidectomy.

Answer 1

I Thyroidectomy is the Sexicel Renovel of the poed gland value of theroid hassoner have charged after tysię - along as ty = 4 stelde Tz - Jongler as normel value of 9 5.4-115 luffalo 4 Tz is 80-220 syf al to value w of thyroid hommes have decrease becouse of thyroidectomy. I level of byroid hommes Love reduced after thyroidectomy use LGan Scanner

3. Normal celain level : 8.5-10.2 rybel Phosphorous Level-2.5-4 rngfah Na level = 135-145 mEq/L Louds of Calin in hatent is more in patent whereas I le is lower than normal serge. It may be because of loro celcitonin hormone that is secreted by para follicular cells of thyroid hormone - Colietonin decreases blood celcuin level of wiseesing berol excretion' & inhibiting osteoclast activity es but due to lack of this homme

after thyroid ectomy Level of Celium & phosphorous is out of senge. Patrent feels cold & fategie that may be due to decreased thyroid hormones as it decreases body nelasele rete. Por furthure, there is weight gain. typoreflexia, psoriasis e cool skin These symptoms are seleted to das hypothyroidism because of Scannethaysoide CamScanner