case study thyroid disorder

   Maria is a 29-year-old woman with a seven-month history of heavy, aberrant menses, a 5-lb weight gain, constipation, and decreased energy. Her accomplished history is unremarkable. She takes no decree medications but uses adamant and calcium supplements. She has a ancestors history of thyroid disease. On examination, her weight is 152 lbs, her affection amount is 64 bpm, and her claret burden is 138/86. Her thyroid gland is agilely enlarged, after nodularity. She has trace edema in her lower extremities, and her reflexes are slow.  Laboratory studies are as follows:  TSH is 15.3 mIU/mL (elevated), chargeless T4 is 0.3 mIU/mL (decreased), and absolute cholesterol is 276 mg/mL. Diagnosis: Primary Hypothyroidism 1. List specific goals of analysis for Maria. 2. What biologic analysis would you prescribe? Why? 3. What are the ambit for ecology the success of the therapy? 4. Discuss specific accommodating apprenticeship based on the assigned therapy. 5. List one or two adverse reactions for the called abettor that would account you to change therapy. 6. What would be the best for second-line therapy? 7. What over-the-counter and/or another medications would be adapted for Maria? 8. What affairs changes would you acclaim to Maria? 9. Describe one or two drug–drug or drug–food interactions for the called agent. Use 3 affirmation based accessories and address inn APA format.

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