Need assistance with #2 - 4. Thank you! HSC 4538 Case Study Packet 1 Summer 18-W

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Need assistance with #2 - 4. Thank you!

HSC 4538 Case Study Packet 1 Summer 18-Word REFERENCES MAILINGS REVIEW VIEW aBbC BbCct A-1 |? . la-B- ? HOSA Title Normal 1 No Spa. Heading Case 4 (1O Pts) A 67-year old woman is referred for treatment of hyperlipidernia. Her cholesterol and trigtycerides are high, despite treetment with lipidHowering medication. She is noted to have hair loss and hoarseness to her voice She also complains of cold intolerance and fatigue. The physician orders a BMP, lipid panel, and thyroid testing cascade. Results are as follows 2/19/2018 09.50 141 Reference Raree 135-145 mEaL 101 25 95-105 mEg 22-28 mEaL 70-100 mg/dl BUN Creat BUN/Creat Ratio 8 0.4 0.5-11 mg/dl 10-20 150-200 mp/dl 250 147 41 310 43 0.4 Not Indicated 100 me/dl 40-80 me/du c150 mg/d 0.445 miU/ LDL HDL Treycerides TSH FT4 tT3 08-2.4ngd 1 Highlight the abnormal results in the above table. (1 pt) 2. Based upon the above clinical and laboratory data, does this patient have hypothyroidism or s in the above table (1 pt)80-180 0/ hyperthyroidism? is this a primary, secondary, or tertiary thyroid disorder? (3 pts) 3. The physician suspects an autoimmune etiology Name the most likely condition and a lab test the can help confirm this potential diagnosis (2 pts) Click or tap here to enter text 4 Explain why this patient has abnormal glucose, lipid panel, and creatinine results? (4 pts) Click or tap here to enter text

Explanation / Answer

1) The abnormal test results include elevated TSH and decreased fT4 levels. She also has high triglyceride, total cholesterol and LDL levels.

2) The patient is having hypothyroidism. The disorder is primary as the condition is limited to thyroid gland as evident from low tyrosine and high TSH levels.

3) The autoimmune disorder of primary hypothyroidism is Hashimoto's disease. This condition can be confirmed by elevated levels of anti-thyroid peroxidase antibodies in serum.

4) Hypothyroidism leads to decreased ability of the body to clear LDL cholesterol which may lead to hypertriglyceredemia. In hashimotos disease, there is a rapid surge if insulin following every meal which can lead to relative hypoglycemia.

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