Reference no: EM132520302
J.C. is a 37-year-old woman who presents with "swollen glands" 2 weeks after an upper respiratory infection. She has no lingering respiratory symptoms but complains of neck pain and swelling.
She denies palpitations, tremors and diarrhea, but has noted a weight loss of 4 pounds. Her blood pressure is 120/72, her pulse rate is 92, and her thyroid gland is tender to palpation and enlarged. Thyroid function testing reveals a TSH level less than 0.02 milliunits/L and a free T 4 of 3.0 ng/dL (elevated).
DIAGNOSIS: SUBACUTE (DEQUERVAIN) THYROIDITIS
1. List the specific goals of therapy for J. C.
2. What drug therapy would you prescribe and at what dose?
3. What are the parameters for monitoring the success of J. C.'s therapy?
4. Discuss specific patient education for therapy for hypothyroidism.
5. List one or two adverse reactions for the prescribed therapy that would cause you to change the drug or dose.
6. What would be the choice for second-line therapy?
7. What, if any, over-the-counter or complementary and alternative medicines would be appropriate for J. C.?
8. What dietary and lifestyle changes would be recommended for J. C.?
9. Describe one or two drug-drug or drug-food interactions for the selected treatment.
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