M. is a 59-year-old postmenopausal woman. The serum T4 is 8 microg/dl (n. 6 – 12); TSH is 4 microg/dl (n. 2 – 10). Body weight – 190 pounds, and she complains of depression. Her physician prescribes a low dosage of T4 to “pep her up”. What changes would you expect to see 4 weeks after the initiation of treatment? the size of thyroid will be reduced serum TSH will decrease serum T4 will decrease the basal metabolism rate will be elevated. Biologic actions of thyroid hormones include all of the following except: stimulate protein synthesis and proteolysis increase Na-K- ATP-ase activity increase oxidative phosphorylation stimulate growth and vascularity of the thyroid gland. stimulate glycogenesis

Question:- A 25-year-old man comes to the emergency department because of a 2-day history of fever and rash. He has a history of complex partial sezure secondary to an arteriovenous malformation. He has had breath through seizure several times each despite treatment with several medication regions. Initially, treatment with phenytoin, which caused sedation. Two weeks ago, he was stitched to valproic acid and lamotrigine. He states that he has not had any seizure during topiramate and phenytoin, which caused sedation. Two weeks ago, he was switched valproic acid and lamotrigine. He states that he was not ad nay seizure during this time, and he finished his sample package of lamotrigine. He is awake and alert but appears ill. Vital signs are temperature 39.0 oC (102.2 oF), pulse 1110/min, respiration 22/min. and blood pressure 130/90 mm Hg. Examination shows extensive bullae, especially over the hands and feet. There are erosive lesions over the mouth and genital area. Which of the…

Clinical Vignette: A 49-year old female patient comes to your office with the following signs and symptoms: fatigue, muscle cramps, muscle weakness, joint pain, memory lapses, weight gain, constipation, always being cold, puffy face, and hair loss. She complains that she feels hungry and thirsty all the time and when she eats her favorite desserts she feels awful. Your Assignment: Using your knowledge of the endocrine system try to come up with a differential diagnosis. Which endocrine system(s) is most likely being affected? Which hormone systems can you rule out and why? To answer this question, you must include the hormone(s), its regulation and tissues and organs involved. In the Group Discussion each student will have create their own discussion thread and respond to other student’s discussion threads. Make sure you describe how the hypothalamus interacts with the pituitary. In addition, be prepared to discuss treatment outcomes and potential problems if left untreated.

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A 67 years old female patient. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT  of her head and neck. Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago.  She underwent a CT scan of the head and neck, but the results were normal. the patient was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD  This morning patient woke up at 0600 hours with a 5/10 headache. At 0700 hours she began to feel weak in her limbs, and her headache increased to…

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Name the correct answer!. Asap   What clinical manifestation would the nurse expect to find in a client who is experiencing anaphylaxis? Dilated bronchioles, constriction of peripheral blood vessels, decreased capillary permeability. Asthma, deep vein thrombosis, encephalopathy Narrowing of the bronchioles, dilation of the peripheral blood vessels, increased capillary permeability. Left-sided heart failure, pulmonary embolism, urinary tract infection..?

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