Part 1: Case Study “A 28 year old female presents for complaints of fatigue, increased sleeping, and weight gain. She states she has had depression off and on since she was 17.She denies any other health problems and has never taken any prescription medication, including anything for depression…” Part 2: Response to the Assignment Please […]
I appreciate your identification of hypothyroidism as a potential diagnosis for the patient. The patient presented with fatigue, increased sleeping, and weight gain. She also admits having several encounters with depression, which indicates a possibility for the presence of hypothyroidism. You identify that the condition is characterized by tiredness and weight gain. According to Taylor et al. (2018), hypothyroidism results from a decline in the capacity of thyroid glands to produce the required quantities of hormones responsible for regulating body metabolism. Based on available clinical presentations, you also identify Cushing’s syndrome as a potential diagnosis. You assert that the condition is characterized by hypercortisolism, which results in fast weight gain and moon facies but often results in sleeplessness rather than increased tiredness. However, the patient’s symptoms are insufficient to necessitate consideration of Cushing’s syndrome as a differential diagnosis. For instance, pink or purple stretch marks on the skin constitute a common symptom of Cushing’s syndrome (Salma, 2019). However, the patient does not present any skin conditions. Therefore, Cushing’s syndrome should be ruled out.
You present useful insight regarding the effectiveness of a thyroid function test in detecting the presence of hypothyroidism. Such a diagnostic procedure detects the levels of thyroid-stimulating hormone and thyroxine in the blood to detect any irregularities in thyroid function (Palui et al., 2019). Therefore, it constitutes a useful diagnostic method to confirm the presence of hypothyroidism. You recommend an administration of levothyroxine or Synthroid to enhance the patient’s thyroid hormone levels. Levothyroxine provides the thyroid hormone that a patient’s thyroid gland would produce if it were working normally, making it an efficient intervention to alleviate hypothyroidism (Trimboli et al., 2020). You present useful insight regarding the available interventions that could help to alleviate the patient’s symptoms.
Ciato, D., Mumbach, A. G., Paez-Pereda, M., & Stalla, G. K. (2016). Currently used and investigational drugs for Cushing s disease. Expert opinion on investigational drugs, 26(1), 75-84. https://doi.org/10.1080/13543784.2017.1266338
Palui, R., Sahoo, J., Kamalanathan, S., Kar, S. S., Sridharan, K., Durgia, H., Raj. H., & Patil, M. (2019). Effect of metformin on thyroid function tests in patients with subclinical hypothyroidism: an open-label randomized controlled trial. Journal of Endocrinological Investigation, 42(12), 1451-1458. https://doi.org/10.1007/s40618-019-01059-w
Salma, S. (2019). Case report on steroid-induced Cushing syndrome. Journal of Drug Delivery and Therapeutics, 9(4-s), 598-600. http://dx.doi.org/10.22270/jddt.v9i4-s.3269
Taylor, P. N., Albrecht, D., Scholz, A., Gutierrez-Buey, G., Lazarus, J. H., Dayan, C. M., & Okosieme, O. E. (2018). Global epidemiology of hyperthyroidism and hypothyroidism. Nature Reviews Endocrinology, 14(5), 301-316. https://doi.org/10.1038/nrendo.2018.18
Trimboli, P., Scappaticcio, L., De Bellis, A., Maiorino, M. I., Knappe, L., Esposito, K., Bellastella, G., & Giovanella, L. (2020). Different formulations of levothyroxine for treating hypothyroidism: a real-life study. International Journal of Endocrinology, 2020, 1-5. https://doi.org/10.1007/s40618-019-01059-w
Trifanescu, R. A., & Poiana, C. (2019). Diagnosis and Management of Hypothyroidism in Adults. In Advanced Practice in Endocrinology Nursing (pp. 581-592). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-319-99817-6_30
Customer's Feedback Review
Published On: 01-01-1970