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1. Anna Salberg, a 45-year-old woman, is suspected of having hypothyroidism. Dr.

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Question

1. Anna Salberg, a 45-year-old woman, is suspected of having hypothyroidism. Dr. Johnston, her physician, has ordered a nuclear imaging of the thyroid. Describe how this test is performed. What information concerning the thyroid will this test provide?

2. Lester Lancour is a 2-year-old male patient who has had a high fever for more than 72 hours. Dr. Adams is certain that the child has meningitis. He has ordered a lumbar puncture in order to determine if the problem is viral or bacterial. Dr. Adam's order indicates that he wants an identification of the white blood cells (differential) that may be present in the CSF. What is a lumbar puncture and how is it performed? Discuss the diagnostic significance of elevated white blood cells in CSF. List the diseases that can be identified by an elevated white blood cell count.

Explanation / Answer

Thyroid scan:-
           -It is a specialized imaging procedure for examining thyroid  gland located in the front part of the neck. Thyroid controls body metabolism.

PROCEDURE:-
             -Thyroid scans are usually performed on an outpatient basis in the hospital.
             -Before any thyroid scan, radionuclide in the form of a pill, liquid, or injection is given to patients.
           -lie down on an examination with neck is extended.
           - scanner is used for scanning thyroid, usually from at least three different angles.

Benefits:-
            -thyroid scan provide unique information including details on both function and anatomic structure of the thyroid gland.
            -For many diseases, thyroid scans yield the most useful information needed to make a diagnosis or to determine appropriate treatment for example hypothyroidism.