Nr 511 Differential Diagnosis & Primary Care Practicum Week 6 Case Study Part 2

lOMoARcPSD|28205643 NR 511 Differential Diagnosis & Primary Care Practicum Week 6 Case Study Part 2Week 6 Case Study Part 2 1.Primary Diagnosis: Hypothyroidism a.The hypothalamus secretes a hormone called thyrotropin releasing hormone (TRH). TRH is responsible for stimulating the pituitary gland causing it to produce thyroid stimulating hormone (TSH). From there, the TSH stimulates the thyroid gland to make and secrete T4. T3 is then produced during the conversion of T4 to T3. The T3 and T4 levels force a negative feedback on the creation of TRH and TSH. Hypothyroidism is a result of a change in structure and function of the involved organs and/or pathways (Patil, 2019). b.When reviewing that patient laboratory work, her TSH level is elevated and her free T4 levels are low. This indicates primary hypothyroidism (Koulouri & Gurnell, 2013). c.During the physical exam and gathering the HPI, the patient presents with positive weight gain, dry brittle hair, small but rm thyroid, feeling fatigued, not having the energy she normally would, having cold intolerance, constipation, dry skin, cramping in BLE. d.Her hemoglobin and hematocrit are WNL. Her RBCs are also WNL. This alone helps rule out anemia as a diagnosis. e.The patient did ll out the