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Examination of the Thyroid System - Case Study Example

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This paper "Examination of the Thyroid System" discusses whether the patient’s euthyroid has aggravated into hypothyroidism. When assessing the mental status and the nervous system, it requires that the nurse must be very comprehensive and use many assessment skills…
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Examination of the Thyroid System
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Download file to see previous pages In 2006, his gallbladder was removed. He takes over-the-counter anti-histamines, as needed for allergic rhinitis symptoms.
Personal and Social History: Mr. "S" is a 73-year-old widower who usually eats the organic food produced from the animals and the fruits and vegetables on his farm. He has two to three beers in the evening after dinner every night. He weighs 235 lbs and measures 5 10" tall.

Whether there is any family history of swelling in the limbs? Is the swelling present anywhere else other than the lower leg? What precipitates the shortness of breath and how long does it last? Is the shortness of breath severe? How long does he need to rest to overcome the shortness of breath? Does he feel dizzy when his breath shortens? When did the weight gain start? Is the shortness of breath as a result of the weight gain or was it present beforehand? Did he take any medication for the weight gain? Is he facing any mood swings or any other allergies?

The nurse needs to assess the mood, behavior, speech, motor skills, strength, tone, sensation, and reflexes. The writer will also examine the effect of anti-histamines on hypothyroidism and examine the sudden weight gain, shortness in breath and peripheral edema.
Thyroid System: Assess the effect of anti-histamines on hypothyroidism, documenting any findings. Assess the patient’s thyroid gland and look for changes such as dry skin, swelling, slower reflexes, and a slower heart rate. Take two blood tests for diagnoses of hypothyroidism; TSH (thyroid-stimulating hormone) test and T4 tests. Cardiovascular system: Carry out an ECG and cardiac enzymes of the patient to rule out attacks of stable angina as he faces shortness of breath and the swelling in his legs. A chest x-ray and an echocardiogram to look at the heart may also be done in this case. ...Download file to see next pagesRead More
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