CASE STUDY eck. Her mother had a ve a goiter. She knows Lydia is a 50-year-old...
Lydia is a 50-year-old businesswoman who has noticed a decrease in her energy level. Her doctor diagnosed her condition as hypothyroidism due to decreased T4 levels in her blood. Name 7 symptoms of hypothyroidism and the treatment. Can this condition be prevented?
A 27-year-old woman with no significant past medical or surgical history presents for evaluation after her gynecologist discovered a palpable mass in the right anterior neck and was told to follow up with her PCP. The patient was previously unaware of the mass and has not experienced neck pain, dysphagia, hoarseness, or compressive symptoms. She is not on any medications and has NKDA. Family history is negative for thyroid carcinoma but several family members have goiters. The patient has no...
What's wrong with me? Sherry, a 43-year-old mother of two, has been experiencing some slightly troublesome physical and mental problems that began about 8 months ago. She had been a physically fit 120-lb person with a bright, happy, and cheerful disposition all her adult life. Within the past few months, however, her husband has repeatedly commented that she overreacts to otherwise normal family situations and seems irritated by the slightest problems. She has also lost a considerable amount of weight,...
Case Study: Low Milk Supply Mrs Thomas is a 24-year-old first time mother who comes in for evaluation of low milk supply. The 7-week-old baby had gained weight well until the last 2 weeks when the mother noticed less wet diapers and a decrease in the volume she was able to pump. Prior to this visit with you, she had been evaluated by a lactation consultant. At a visit 1 week ago, pre- and post-feeding weights showed low transfer of...
Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina’s body is beginning to change and she has made a number of comments about her body image. Kris is concerned about Gina’s self-esteem and emotional...
A 10-year old female experienced one cold after another in the springtime. She had missed a number of days of school, and her mother took her daughter to the pediatrician and was concerned that her daughter might be immuno-compromised because she couldn’t seem to fight off infections. A blood sample was obtained and sent to a reference laboratory for a determination of antibody levels. The patient’s IgM, IgG, and IgA levels were all normal for her age, but the IgE...
Twenty-one-year-old Emily doesn’t eat breakfast before her 11 a.m. nutrition class because she knows she’s likely to feel uncomfortably full and bloated after. Lately, Emily has had frequent bouts of abdominal pain that are only relieved by a bowel movement, followed by several loose, watery stools. Her symptoms are worse when she eats a large meal, especially when the meal contains wheat, and right before a midterm exam or a paper is due. For a few weeks at the beginning...
Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. Kris shares with the nurse her concerns about recent changes she has noticed in Gina. She explains that Gina’s body is beginning to change and she has made a number of comments about her body image. Kris is concerned about Gina’s self-esteem and emotional...
Case Scenario: A 35-year-old woman presents with an enlargement of her neck. She has been experiencing intermittent fevers and no other symptoms of infection, drenching night sweats, itchy skin, and fatigue. She has no prior health problems. She also reports to have lost 20 pounds in the last month, that was not an intentional loss. The doctor fears Hodgkin lymphoma. There is no family history. Question: Explain tests the doctor will likely run for a definitive diagnosis. You will need...
Case Study Susanna Randolph is a 40-year-old single African American mother, living in a suburban townhouse with her 10-year-old son, Jeff, who has autism. She keeps in regular contact with Jeff’s father, who runs a high-tech start-up company. Ms. Randolph pursued a successful career as a medical technologist until her son’s diagnosis. After she resigned from her post as a laboratory supervisor, she was able to get a position working at home as an instructional designer for a nearby laboratory....