Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.
If Edna’s condition goes untreated, she may experience more severe symptoms. List 3 symptoms (other than those given in her history) that often accompany untreated hypothyroidism.
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- KL is a 24-year-old female with diagnosis of obesity and asthma. She shows up today in primary care physician office for her annual physical exam. While you are getting her vitals and weight, KL tells you she has gained 10# in the last 2 months, and that she really wants to lose some weight. She is 5 feet 1 inch tall and weighs 235 pounds currently. You also got her measurement of waist circumference, which is 42 inches. KL mentions she read from the Internet that “The Rock” has a high BMI and is technically “obese”, and wonders if BMI is useful. She describes her typical day as below: she has a sedentary lifestyle and sits in front of a computer all day at work. She usually gets a quick breakfast from McDonald’s or Dunkin’ Donuts when she gets her morning coffee on the way to work, and then a quick lunch from one of the fast-food restaurants near work during her 30 minutes lunch break. She drinks bottled iced tea throughout the day because she doesn’t like the taste of tap water.…arrow_forwardEdna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. Edna’s symptoms are similar to those present in Grave’s disease. True Falsearrow_forwardMr j a 76 year old man was admitted to the hospital with rest pain in both legs and a non healing ulcer on the right foot. Subjective data History of MI, stroke, hypertension, chronic heart failure and diabetes mellitus Underwent a left femoral popliteal by pass 5 years ago. Has been on insulin for 30 yrs Complains of sudden, increase in right foot pain for 2 hours Has slept on recliner with right leg in dependent position for several months. Current medications Furosemide 40 mg po daily Aspart( Novolog) insulin with meals Diltiazem sustained release 240 mg PO daily. Aspirin. 325 mg P.O daily Objective data Physical examination BP 148/92 mm Hg, respiratory rate 22/minute. Alert and oriented but anxious, no apparent physical/mental deficits from previous stroke Has a diminished right femoral pulse, popliteal pulse by doppler only, posterior tibial pulse and dosalis pedis pulse absent. Right leg ABI 0.4 left leg ABI 0.4 Has a 2 cm necrotic ulcer on tip of right toe Right foot is very…arrow_forward
- Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. If Eda is prescribed a synthetic thyroid medication, which of the following would be a sign that her dosage is too high? Weight gain Decrease basal metabolic rate Anxiety Cold intolerancearrow_forwardJeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care. Briefly explain why Jeff has a feeling of extreme thirst.arrow_forwardGeorgia is 20 years old. She works at a stressful full-time job, co-parents a four-year-old and is attending evening courses to finish her bachelor degree. She has no history of significant trauma or health concerns, other than well-managed type I diabetes. She woke up one morning feeling a little off. When she looked in the mirror, she noticed that her right eye looked droopy and she was unable to smile fully. She panicked, called 911, and ran to her neighbor’s house to ask for a ride to the hospital. Georgia remembers learning in one of her first aid courses that face drooping was a sign of a stroke, so she was very worried.. List and describe at least two risk factors given in this case study.arrow_forward
- 41. An 18-year-old female college freshman comes to the health center because of a 3-month history of fatigue and intermittent headaches. She also has had an unintentional weight loss of 4 kg (9 lb) during the past 6 weeks and difficulty concentrating on her schoolwork. She moved from her home to a campus dormitory 5 months ago. She was an avid tennis player but says she has not played since school began because she has no energy and has lost interest in sports. She notes that she recently broke off her long- distance relationship with her boyfriend back home. She tearfully says she feels lonely and is frustrated with her performance on final examinations. She occasionally drinks alcoholic beverages "to help with sleep." She does not use illicit drugs. She appears thin and has a sad affect. Physical examination shows no abnormalities. Which of the following is the most appropriate initial response by the physician? A) "Although this is a difficult time for many, I'm concerned that…arrow_forwardGeorgia is 20 years old. She works at a stressful full-time job, co-parents a four-year-old and is attending evening courses to finish her bachelor degree. She has no history of significant trauma or health concerns, other than well-managed type I diabetes. She woke up one morning feeling a little off. When she looked in the mirror, she noticed that her right eye looked droopy and she was unable to smile fully. She panicked, called 911, and ran to her neighbor’s house to ask for a ride to the hospital. Georgia remembers learning in one of her first aid courses that face drooping was a sign of a stroke, so she was very worried. Georgia is 20 years old. She works at a stressful full-time job, co-parents a four-year-old and is attending evening courses to finish her bachelor degree. She has no history of significant trauma or health concerns, other than well-managed type I diabetes. She woke up one morning feeling a little off. When she looked in the mirror, she noticed that her right eye…arrow_forward__ influence of treating an individual with TSH on their body temperature.arrow_forward
- Jim is a truck driver who is on the road for long hours. He admits to eating “unhealthy” foods and often stops at fast food restaurants after his late shifts, choosing cheeseburgers, French fries, and pizza most often. He does not drink alcohol because his job requires him to drive at a moment’s notice, but he does drink coffee throughout the day to keep awake during his odd hours. He has a history of intermittent heartburn, but the chest pain is getting more frequent and more severe, so he decides to seek treatment. Jim is at risk for developing a complication known as Barrett’s esophagus. Briefly describe the pathophysiology of this condition.arrow_forwardEdna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. Edna’s test results showed that her T4 level was below normal. Why might her TSH level be elevated?arrow_forwardEugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. How would you apply the concept of oxygenation to Mr. Shaw, considering his health history?arrow_forward
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