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Nrp555 Adult And Geriatric Management I

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Subject
Nursing
School
University of Phoenix
Type
Homework
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Running head: ENDOCRINE AND IMMUNOLOGICAL DISORDERS 1
Endocrine and Immunological Disorders
Name
Institution

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ENDOCRINE AND IMMUNOLOGICAL DISORDERS 2
Endocrine and Immunological Disorders
The case study presented involves a 42-year old female patient who has experienced
unexpected sudden weight gain, heavy menses within the last three months, and fatigue.
According to the patient's history, he had developed Guillain-barre syndrome when she was 18
years. Besides, he has a problem with allergies, depression, and difficulty in getting pregnant.
After some assessment, it was found that the patient's grandmother experienced thyroid issues in
the past. However, there is no more information regarding the condition. Based on the
understanding of the case, various aspects have been discussed, including additional assessment,
determination for routine screening, the necessary testing for hypothyroidism, the relevance of
free T4 compared to total T4, and the circumstances under which the patient needs to visit an
endocrinologist.
Additional Assessment for the Patient Examination
Since the patient’s grandmother was experiencing thyroid problems, it is necessary to
carry out the blood test to determine whether she may be having the same condition. This is
because some states, such as those associated with blood and hormonal problems, are
hereditable. Other assessments necessary for the patient include her thyroid gland functioning,
personal history, family history, physical examinations, and the risk factors associated with
thyroid malfunctioning. Among various blood tests that need to be conducted for the patient, one
of them involves determining the presence of the thyroid-stimulating hormone (TSH) in the
blood. In this case, a healthcare provider is supposed to check free thyroxin, free T4 indicator, or
total T4 for the analysis.
Determination for Routine Screening of Thyroid Function
A condition in which a thyroid does not function normally is known as thyroid
dysfunction. The primary test for this condition is considered to be the serum TSH test. This test

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Running head: ENDOCRINE AND IMMUNOLOGICAL DISORDERS Endocrine and Immunological Disorders Name Institution 1 ENDOCRINE AND IMMUNOLOGICAL DISORDERS 2 Endocrine and Immunological Disorders The case study presented involves a 42-year old female patient who has experienced unexpected sudden weight gain, heavy menses within the last three months, and fatigue. According to the patient's history, he had developed Guillain-barre syndrome when she was 18 years. Besides, he has a problem with allergies, depression, and difficulty in getting pregnant. After some assessment, it was found that the patient's grandmother experienced thyroid issues in the past. However, there is no more information regarding the condition. Based on the understanding of the case, various aspects have been discussed, including additional assessment, determination for routine screening, the necessary testing for hypothyroidism, the relevance of free T4 compared to total T4, and the circumstances under which the patient needs to visit an endocrinologist. Additional Assessment for the Patient Examination Since the patient’s grandmother was experiencing thyroid problems, it is necessary to carry out the blood test to determine whether she may be having the same condition. This is because some states, such as those associated with blood and hormonal problems, are hereditable. Other assessments necessary for the patient include her thyroid gland functioning, personal history, family history, physical examina ...
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