Woman presents to you with neck pain and sweating

Assignment Help Science

Reference no: EM133710749

A 45-year-old woman presents to you with neck pain and sweating. For the past week she has had myalgias, sore throat, and fatigue. She tells you that yesterday she noted sharp pain in the front of her neck. Her medical history is notable for osteoarthritis and right-knee replacement. She takes no medications, does not smoke, drink alcohol excessively, or use illicit drugs. She works as an administrative assistant for an investment bank. Her review of systems is notable for heat intolerance and mild anxiety. Her vital signs are: temperature 38.5 °C, heart rate 105 beats/minute, blood pressure 117/65 mm Hg, respiratory rate 16 breaths/minute, and oxygen saturation 98% on room air. Her examination is notable for exquisite tenderness over her thyroid gland without palpable nodules. Her thyroid-stimulating hormone (TSH) level is 0.1 microU/mL (normal range, 0.5-5 mU/L), and her free thyroxine (T4) is 15 ng/dL (normal range, 0.9-2.3 ng/dL). What is the best initial treatment for her?

Reference no: EM133710749

Questions Cloud

Improve memory in healthy individuals : Which of the following has been shown to improve memory in healthy individuals? Drugs that increase levels of acetylcholine in Alzheimer's patients Drugs

Differences in the examination process exist : Although a pediatric physical examination is similar to an adult physical examination, key differences in the examination process exist.

Neighbor who is employee of the organization : A patient is concerned that his hospital records may have been inappropriately accessed by a neighbor who is an employee of the organization.

Develop your professional identity : Understanding nursing values, while reflecting on your own beliefs and experiences, enables you to develop your professional identity.

Woman presents to you with neck pain and sweating : A 45-year-old woman presents to you with neck pain and sweating. For the past week she has had myalgias, sore throat, and fatigue.

The patient was admitted to hospital for treatment : The patient was admitted to the hospital for treatment after x-rays indicated no fractured bones.

Spinal cord resulting in spinal shock : A patient was involved in an accident one week ago and obtained an injury to their spinal cord resulting in spinal shock.

History of type two diabetes mellitus : A 61-year-old widow is brought to the emergency room after being found unresponsive in her home. She has a history of type 2 diabetes mellitus

Single congenital muscular torticollis : A single congenital muscular torticollis is postural musculoskeletal deformity and is characterized by the shortening or stiffness of sternocleidomastoid muscle

User Account

All Pages