1 A 30 yr. old female presents to the doctor’s office today appears pale. When you touch...
1 A 30 yr. old female presents to the doctor’s office today appears pale. When you touch her arm to place the blood pressure cuff on her arm, you notice she feels cool. She complains of recent weight gain.
What is this condition?
Will her T3 and T4 levels be low or high?
Will TSH be high or low?
What will happen to heart rate?
Will the person have a heat or cold intolerance?
What is the autoimmune condition associated with this?
2 A 54 yr. old man comes into the clinic in December and says that he has a tan and cannot figure out why he has a tan in the middle of the winter.
What condition does this man have?
Describe what organ is involved?
Describe the signs and symptoms.
What hormones are deficient in this disease?
Explain how ACTH is part of this disease.
3 A 16 yr. old boy who was recently in a car accident where he injured his head, comes into the clinic today complaining that he has been frequently urinating.
What condition does he have?
What hormone is deficient in this condition?
What gland in the brain is effected by this condition?
Describe the hormone pathway involved in this condition that leads to the symptoms.
What substance is missing in the urine of these patients that is normally present in others with a similar condition?
4 A 26 yr. old female presents to the doctor today complaining of tremors and a feeling of feeling nervous. She says when she gets nervous and then she feels warm and her cheeks turn red and she feels flushed.
What is this condition?
What changes do you see in the eyes?
Will T3 and T4 levels be low or high?
What happens to the person’s body weight?
5 A 25 yr. old female comes to the doctor for a routine check up and blood work. When her lab results return, the results show high calcium levels. When the doctor asks her more questions, she states that she has had some pain in her kidneys. An ultrasound of the kidney is done and reveals the presence of kidney stones.
What condition does the patient have?
What will happen to the phosphate levels?
What will happen to vitamin D levels?
What other symptoms can be seen in this condition?
Homework Answers
1. hypothyroidism
t3 and t4 levels low
TSH levels high
heart rate decreased
cold intolerance
hashimoto's thyroditis
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1 A 30 yr. old female presents to the doctor’s office
today appears pale. When you touch...
1 A 20 yr. old female presents to the doctor today complaining of pain in her back. She...
1 A 20 yr. old female presents to the doctor today complaining of pain in her back. She states the pain began one week ago and has been getting worse. When taking a history, you discover that she is sexually active and has a history of bladder infections in the past year. When doing a physical exam, you find that she has a fever and pain in her lower back upon palpation. What condition does the patient have? What are four medications used...
you are working as a nirse in tha ED when a 42 years old female comes...
you
are working as a nirse in tha ED when a 42 years old female comes
in complaining of chest diacomfort
71 year of С.К who isan inability to lie dowthcommunity. of accesona Acute Cardiac Unfolding Case Study Concept: Perfusion You are working as a nurse in the ED when a 42 year old female comes in complaining of chest discomfort. Although she states that she has been experiencing this discomfort on & off" for a couple of weeks, today...
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the...
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the clinic. She also has a 10 year history of hypertension. Her diabetes and hypertension has been only moderately controlled. Today she reports edema in her hands, face, and feet. She reports that she is tired and "just doesn't seem to have any energy". Her blood sugar is within acceptable limits. Her urine is positive for blood and protein. What complication of diabetes might you...
Physician Office Note: This 54-year-old white female presents to the office today with a chief complaint...
Physician Office Note: This 54-year-old white female presents to the office today with a chief complaint of abdominal pain for 3 days. She is also experiencing indigestion for which she has been taking over-the-counter antacids. Allergies: The patient is allergic to Cipro. Review of Systems: The patient is complaining of abdominal pain without nausea and vomiting. There is no chest pain or shortness of breath reported by the patient. Physical Examination: HEENT: No findings Heart: RSR without murmur Neck: Supple....
QUESTION 4 A 48 yr old female presents to her doctor with progressive weight gain of...
QUESTION 4 A 48 yr old female presents to her doctor with progressive weight gain of 20 lbs over one year and developing fatigue, deep voice, dry skin, cold intolerance around the same time frame Her lab results show: CBC and Differential WBC: Normal total Serum T4: 2.5 ug/dL (4.5-12.5) TSH: 5.2 (0.2-3.5 mcU/mL) Serum cholesterol: 238 (<200) a. What is the likely diagnosis? b. Is the defect at the primary, secondary or tertiary level? How do the test results...
Beth is a 42-year-old Native American woman who presents to the clinic today with several concerns....
Beth is a 42-year-old Native American woman who presents to the clinic today with several concerns. She has been feeling lightheaded, tired, weak, nauseous, and has had no appetite for the past 6 months. She has lost weight, probably about 25 pounds she estimates. She believes her skin and lips are getting darker even though she has not been in the sun recently. She always feels dehydrated. After prompting, she admits that her hair under her arms and in the...
I am in need of some help. Jackson, age 65, comes to the doctor's office complaining...
I am in need of some help.
Jackson, age 65, comes to the doctor's office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath. and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor...
S.R. is a 42-yr old woman who has been experiencing unexplained weight loss in the last...
S.R. is a 42-yr old woman who has been experiencing unexplained weight loss in the last few months. She feels like she is tired all the time and her appetite is not very good. Today she is being seen at the outpatient clinic because joint stiffness in the mornings has become an increasing problem. She has also noticed that her left wrist is especially painful and swollen today, though she doesn't remember injuring it. 1. What diagnostic tests do you...
QUESTION 1 A 43 yr old female presents with increased weight gain of 35lbs over 2...
QUESTION 1 A 43 yr old female presents with increased weight gain of 35lbs over 2 month period specifically in her central body area, increased hair growth, acne and menstrual irregularity. Suspecting an endocrine disorder her doctor orders biochemical testing. Results are shown below 8am cortisol: 45 ug/dL (10-20 ug/dL) AM ACTH: 80 pg/mL (9-63 pg/mL) 24 hr urine cortisol: 138 ug/day (6-42 ug/day) FSH: 5.8 (3-8 mIU/mL) LH: 4.9 (1.8-11.78 mlU/mL) Estradiol (estrogen) 21 (18-147 pg/mL) Testosterone: 420 ng/dL...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, "I have had asthma since childhood, and my mother and brother also have asthma." Her respiratory rate was 30 breaths per minute, and she...
you
are working as a nirse in tha ED when a 42 years old female comes
in complaining of chest diacomfort
71 year of С.К who isan inability to lie dowthcommunity. of accesona Acute Cardiac Unfolding Case Study Concept: Perfusion You are working as a nurse in the ED when a 42 year old female comes in complaining of chest discomfort. Although she states that she has been experiencing this discomfort on & off" for a couple of weeks, today...
Frances Jenkins, 63 year old female with a 15 year diagnosis of Diabetes, presents in the clinic. She also has a 10 year history of hypertension. Her diabetes and hypertension has been only moderately controlled. Today she reports edema in her hands, face, and feet. She reports that she is tired and "just doesn't seem to have any energy". Her blood sugar is within acceptable limits. Her urine is positive for blood and protein. What complication of diabetes might you...
Physician Office Note: This 54-year-old white female presents to the office today with a chief complaint of abdominal pain for 3 days. She is also experiencing indigestion for which she has been taking over-the-counter antacids. Allergies: The patient is allergic to Cipro. Review of Systems: The patient is complaining of abdominal pain without nausea and vomiting. There is no chest pain or shortness of breath reported by the patient. Physical Examination: HEENT: No findings Heart: RSR without murmur Neck: Supple....
QUESTION 4 A 48 yr old female presents to her doctor with progressive weight gain of 20 lbs over one year and developing fatigue, deep voice, dry skin, cold intolerance around the same time frame Her lab results show: CBC and Differential WBC: Normal total Serum T4: 2.5 ug/dL (4.5-12.5) TSH: 5.2 (0.2-3.5 mcU/mL) Serum cholesterol: 238 (<200) a. What is the likely diagnosis? b. Is the defect at the primary, secondary or tertiary level? How do the test results...
I am in need of some help.
Jackson, age 65, comes to the doctor's office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath. and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor...
S.R. is a 42-yr old woman who has been experiencing unexplained weight loss in the last few months. She feels like she is tired all the time and her appetite is not very good. Today she is being seen at the outpatient clinic because joint stiffness in the mornings has become an increasing problem. She has also noticed that her left wrist is especially painful and swollen today, though she doesn't remember injuring it. 1. What diagnostic tests do you...
QUESTION 1 A 43 yr old female presents with increased weight gain of 35lbs over 2 month period specifically in her central body area, increased hair growth, acne and menstrual irregularity. Suspecting an endocrine disorder her doctor orders biochemical testing. Results are shown below 8am cortisol: 45 ug/dL (10-20 ug/dL) AM ACTH: 80 pg/mL (9-63 pg/mL) 24 hr urine cortisol: 138 ug/day (6-42 ug/day) FSH: 5.8 (3-8 mIU/mL) LH: 4.9 (1.8-11.78 mlU/mL) Estradiol (estrogen) 21 (18-147 pg/mL) Testosterone: 420 ng/dL...
CASE STUDY A 19-year-old female college student presents to the emergency department complaining of chest tightness and dyspnea. She was cutting and trimming the lawn when these symptoms developed. Rhinorrhea and tearing began soon after she went outside and preceded the chest discomfort. Going inside did not relieve her symptoms. During the physical examination, she said, "I have had asthma since childhood, and my mother and brother also have asthma." Her respiratory rate was 30 breaths per minute, and she...
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