Question

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, even though her diet and exercise levels haven't changed. Because Sherry just isn't feeling "right," she decides to make an appointment with her family physician Sherry tells her physician that she has been restless, anxious, and quite irritable lately. She is having a hard time sleeping, complains of diarrhea and weight loss, and has an increased appetite without weight gain. Visual examination of her neck reveals an enlargement of the right anterior neck. During the examination, her physician notices a higher-than- normal heart rate and a fine tremor in her outstretched fingers. Although further clinical tests are necessary, the doctor suspects hyperthyroidsm Why does the physician suspect hyperthyroidism? 2 Explain hyperthyroidism. What tests could the physician order to make a positive diagnosis of Sherry's condition? Which of Sherry's signs and symptoms indicate nervous system involvement?

Answer 1

1. Physician suspect hyperthyroidism because there was unintentional weight loss. Her diet and exercise didn't change still she was experiencing weight loss. She is also having sleep disorders. She is also having high heart rate and tremors in hand. Her neck is also having enlargement.

2. In hyperthyroidism there is over activation of thyroid gland and there is excess production of thyroid hormone. Since thyroid hormone regulates metabolism so in hyperthyroidism there is excess of thyroxine which causes weight loss.

3. The doctor can ask for blood tests which includes knowing the level of thyroid hormones T3 and T4 with the levels of TSH.

4. She is having sleep disorders. She is having tremors. She is having high heart rate. She also overreacts for slight things.