Reference no: EM133689405

Questions

1. Clinical symptoms are subjective manifestations of disease that may only be conveyed by the patient. List a minimum of 6 symptoms that his patient has conveyed that are consistent with a diagnosis of hypothyroid disease.

2. Clinical signs are objective manifestations of disease that may be observed or measured by someone other than the patient, often a nurse or primary care provider. List a minimum of 5 signs that this patient demonstrates that are consistent with a diagnosis of hypothyroidism.

3. Explain the pathophysiology underlying the patient's abnormal ESR.

4. Explain the pathophysiology underlying the patient's swollen hands and puffy face.

5. Explain the pathophysiology behind the patient's abnormal heart rate.

6. List six blood laboratory test results that are lower than normal but consistent with a diagnosis of hypothyroid disease.

7. Based on the laboratory blood test results in Table 59.1, does this patient have primary or secondary hypothyroid disease? Explain why.

8. Why might the patient's serum Ca++ concentration be abnormal?

9. Why was Hashimoto thyroiditis excluded as the cause of hypothyroidism in this patient?

10. A diagnosis of hypothyroid disease, possibly the result of suppurative (i.e., bacterial) thyroiditis, was established. Based upon which information was this diagnosis made?

11. What is the significance of the patient's medical history with respect to levothyroxine use?

12. Why is this patient's abnormal serum cholesterol level consistent with hypothyroid disease?