Endocrine Case Study
Shirley, a 50 year old housewife, comes in complaining of progressive weight gain of 20lbs over the last year, fatigue, postural dizziness, loss of memory, slow speech, deepening of her voice, dry skin, constipation, and cold intolerance. She is concerned and wants labs to further evaluate her condition.
PMH: Anxiety disorder diagnosed 1 year ago
Meds: alprazolam .5 every 6 hours as needed for anxiety
Allergies: None
ROS: Negative except as listed above
Physical Exam:
General: Obese female
Vitals: T 98.6F, HR 58/min and regular, BP 110/60.
Head: Normocephalic
Eyes: PERRLA, EOMI, puffiness noted around eyes and face
Neck: Thyroid gland is non-palpable
Skin/Integument: pale, cool, dry, thick skin
The provider checks labs and determines Shirley has hypothyroidism.
Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source
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