Thyroid Disorders: A Case Study

1. Where will recruitment occur? a. Individuals will be recruited for participation through advertisement posters located at Columbia College Chicago. Individuals potentially undergoing a lower- extremity injury will be inquired by Columbia College professors and choreographers if they would like to participate in the pilot study. 2.

CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.

Robbie's HRST needs to be updated to reflect correct medication dosage. As of 09.14.2015, Robbie's Levothyroxine Sodium (Synthroid) medication was increased to .88mcg. The changes need to be reflected on the HRST. The provider has been notified.

learning function. When thinking of how this test is administrated in multiple atmospheres, one may wonder how assessable it is for the clinician. However, those who designed the BVMT-R had this in mind and made them easy to be handled and transported to various environments such as clinics, fields, courts, hospitals rooms, etc. Trail Making Test Form B (TMT-B) assesses the participant 's visual scanning, attention, mental flexibility, and visual-motor speed. The TMT-B requires the participant to draw a continuous line connecting circles in ascending order, alternating between number (1 through 13) and letter (A through K).

However, during his workout he was slightly dehydrated since his urine turned to dark yellow. The urine color and specific gravity are matched in terms of normal values based on the data results. Because the normal specific gravity of urine ranges from 1.000-1.030 according to medlineplus.gov. 2. Based on the urine color and specific gravity, what might Tracey conclude about the hydration status of Max 's body at the three different times? Answer: Since

The first two steps are part of a process known as ‘Primary Care.’ Primary care is either self-initiated or by referral. Step one, in self-referral, can be done in a couple of different ways- Doing an online screening test, printing it off and bringing it in to a family doctor is one way, and another, sometimes by referral, is actually a compound step of one and two- an individual may go in to their family doctor and do the screening test and the assessment all at once. The screening tests are usually multiple-question questionnaires listing a variety of symptoms associated with a particular disorder, and beside them are little boxes or bubbles to tick based on the severity of the symptom over the last few weeks to 6 months.

For example, there was a kid she is 8 year old she came for hypothyroidism. She also had some symptoms of diabetes. The nurse screened her for diabetes by doing urine test, Accu check, and A1C. The result was positive diabetes type II.

However, prior to any administration of the tests a functional magnetic resonance

Pathophysiology ANAT1066 Case study assessment Case study (b) INTRODUCTION Base on the clinical and laboratory data provided, the patient is suffering from Graves’ disease, a cause of hyperthyroidism which is a type of thyrotoxicosis. Clinical manifestation of Graves’ disease (GD) includes diffuse thyroid enlargement, palpitation and hyperthyroidism (Fukishima et al 2009). Other symptoms are ophthalmophathy which result in exopthalmos (bulging of the eye), and dermopathy (oedema) (mencori et al 2014). Hyperthyroidism has some symptoms such as heat intolerance, sweating and weight loss (mencori et al 2014). Tachycardia (a faster than normal heart rate at rest) and bruit (indicate hyper dynamic circulation) are among

Hypothyroidism is a medical condition when the thyroid gland does not produce enough thyroid hormone. This disease can occur as a congenital disease or acquired due to a primary disease of the thyroid gland. With the decrease amount of thyroid hormone, the body will have some metabolic effects and energy imbalance. Not only can hypothyroidism be a primary diagnosis but it can also be a secondary diagnosis related to other illnesses or diseases that affects the thyroid. Primary diagnosis of hypothyroidism is due to the thyroid gland directly.

The second example is a woman with the Cushing’s syndrome, the reasons cause this disease is the level of cortisol is too high in human’s body. Cortisol, which is produced in the adrenal glands, plays a variety of roles in human body. For example, cortisol helps humans body respond to stress and regulates the way human convert proteins, carbohydrates

INTRODUCTION The pituitary gland is a central endocrine organ that regulates basic physiological functions incuding growth, reproduction and metabolic homeostasis. It situates at the base of the brain, under the optic chiasm, inside a depression on the upper surface of the sphenoid bone, the sella turcica1 (Fig.1). Fig. 1

In my opinion, yes there is such a thing as "painless cost control. " Healthcare professionals, insurance companies, and hospital administrators have contributed in making healthcare cost very high. That needs to be controlled because when some insurance companies pay for the fee for services while others pay for capitation or payment for Diem, that creates a lot of confusion and competition in the market leading physicians into a more specialized field and Primary care providers practices certain procedures in their interests which cost more money. Due to that, practices that increase Healthcare cost without creating any benefit for the patients, as well as the insurance companies and the population can be reduced as painless cost control by setting up a universal payment system to pay physicians, specialist, and hospitals.

Case Study 1 – The Endocrine System Christina D’Amico University of Saint Joseph Abstract A fifteen-year-old boy with many hormonal abnormalities starting at the age of eleven suffered from joint pain and swelling along with poor bone growth and development. He broke his left hip and had low levels of testosterone and high levels of growth hormone resulting in gigantism and later acromegaly.

Initial evaluations of these two techniques in clinical trials have indicated that they may improve the diagnostic performances of differentiating benign from malignant lesions and help to reduce the number of unnecessary benign thyroid biopsies [15, 16]. Strain elastography is a previous elastography technique; however, it requires manual compression by the operator and can only provide semi-quantitative images [17]. The second type of elastography is shear-wave elastography (SWE). SWE is the latest elastographic technique with more reproducible and less operator-dependent and doesn’t rely much on external force. SWE can measure quantitative elastographic values which can be expressed in either kPa or m/s [18 -