Health High School

Answer the following 4 questions that are based on this scenario: Vivian follows up with her PCP for her hypothyroidism. She is 60 years old and was diagnosed with hypothyroidism when she sought treatment for dry skin and thinning hair. Her symptoms have improved since her levothyroxine was increased to 125 mcg one year ago. She reports no current syymptoms. What would be the best CC for Vivian's visit? A) Hypothyroidism followup B) Dry skin and thinning hair C) Annual physical D) Followup E) None of the above

Answers

Answer 1

The best chief complaint (CC) for Vivian's visit would be D) Followup.

Explanation:

1. The best chief complaint (CC) for Vivian's visit would be D) Followup. This is because Vivian has been diagnosed with hypothyroidism, and her symptoms have improved since her levothyroxine medication was increased one year ago. She reports no current symptoms, indicating that her condition is stable. Therefore, a routine follow-up visit is appropriate to assess her progress, monitor her medication dosage, and address any potential concerns or adjustments needed.

2. Choosing "Hypothyroidism followup" (option A) would be too specific since it doesn't capture the broader purpose of the visit, which is to evaluate Vivian's overall condition and ensure her treatment is still appropriate. "Dry skin and thinning hair" (option B) could have been a possible CC when she initially sought treatment, but since her symptoms have improved with the increased levothyroxine dosage, it is not the primary reason for this particular visit. "Annual physical" (option C) is a general check-up, but in this case, Vivian's visit is specifically focused on her hypothyroidism follow-up. Therefore, the most appropriate CC would be "Followup" (option D) to indicate a routine visit to monitor and manage her hypothyroidism. "None of the above" (option E) is not the best choice because there is a specific reason for Vivian's visit, even though she doesn't currently have symptoms.

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Related Questions

Tricia has been seeing Dr. Chu for three years because of tremors she was experiencing in her hands and forearms, difficulty starting and stopping movements when she walked, and muscular rigidity that was occurring when she tried to move her body in a certain way. At that time Dr. Chu diagnosed her with Parkinson's disease, a progressive movement disorder. She has used levodopa and then ropinirole to make her brain respond as if it is receiving the neurotransmitter dopamine. Unfortunately, many side effects develop through years of treatment and eventually it becomes ineffective. 1. Discuss the anatomy and physiology of the case by connecting with affected organs and systems. 2. Describe the pathophysiology of the clinical case. 3. What can be the treatments?

Answers

Parkinson's disease involves basal ganglia dysfunction due to dopamine deficiency from degeneration of substantia nigra neurons, leading to movement symptoms. Treatment includes medications, surgery, and therapies.

Parkinson's disease affects the basal ganglia in the brain, leading to movement-related symptoms in organs and systems such as tremors, difficulty with motor control, and muscular rigidity.The pathophysiology involves the progressive degeneration of dopamine-producing neurons in the substantia nigra, causing a dopamine deficiency and disrupting the balance of inhibitory and excitatory signals in the basal ganglia.Treatment options for Parkinson's disease include medications like levodopa and dopamine agonists, deep brain stimulation, physical therapy, and surgical procedures like pallidotomy or thalamotomy. Individualized care is necessary for managing symptoms and slowing disease progression

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Which associated disorders may be found in a patient with neuropathic pain? select all that apply.

Answers

The associated disorders that may be found in a patient with neuropathic pain include diabetic neuropathy, postherpetic neuralgia, complex regional pain syndrome, and multiple sclerosis.

Neuropathic pain can be linked to various underlying disorders. Diabetic neuropathy is a common condition that occurs as a result of nerve damage associated with diabetes. It can cause burning pain, numbness, and tingling in the affected areas. Postherpetic neuralgia is a complication of shingles, a viral infection caused by the varicella-zoster virus.

It leads to persistent pain in the area where the shingles rash occurred. Complex regional pain syndrome is a chronic pain disorder characterized by severe and disproportionate pain, usually affecting a limb after an injury or surgery. Multiple sclerosis (MS) is a neurological disease that damages the protective covering of nerve fibers, leading to neuropathic pain as one of its symptoms.

While these are some of the commonly associated disorders with neuropathic pain, it's important to note that other conditions such as spinal cord injury, chemotherapy-induced peripheral neuropathy, and certain autoimmune diseases can also cause neuropathic pain.

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FULL QUESTION: Which associated disorders may be found in a patient with neuropathic pain? Select all that apply.

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