Question

Case Study

Don Smart is 55 years of age and is a male patient who presents to the family physician to follow up on some symptoms he recently developed. The patient states that he is extremely tired and is having trouble concentrating. He states that his skin is dry and flaky. His nails are brittle and his hair is dry, dull, and falls out as he showers. He is 8 weeks postop after a modified radical neck for laryngeal cancer and has completed the external radiation therapy. He states that his appetite is poor, yet he is gaining weight. He is using a Blom-Singer prosthesis for speech. The patient’s current medications include metformin (Glucophage) for a history of type 2 diabetes, digoxin 0.25 mg every day for history of atrial fibrillation, and warfarin therapy being managed by the family physician for thromboembolism prophylaxis related to atrial fibrillation. The physician orders the following lab work: CBC with differential, serum albumin, TSH, FT4, PT and INR

Answer 1

Answer:-

There are numerous side effects that are regular of hypothyroidism, including the weariness, dry skin, poor focus, hair changes, male pattern baldness, fragile sends, and weight gain. In spite of the fact that the most widely recognized reason for hypothyroidism is an immune system issue that assaults the thyroid, the ongoing neck medical procedure and neck radiation is bound to be the reason given the planning of the beginning of manifestations. The TSH and free T4 will assess thyroid function, and an elevated TSH and a low free T4 will confirm the diagnosis. The PT and INR monitors the effectiveness of the Coumadin. Once the lab work confirms the diagnosis, the proper treatment is thyroid replacement with levothyroxine, with alteration of the portion until the TSH and free T4 are typical. The doctor will anticipate that the medical caretaker will screen the patient's indications with the objective being goals of the manifestations as sufficient thyroid substitution is accomplished.

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