CASE STUDY 4 HEAD, NECK EENT
ADVANCED QUESTIONS LATEST
UPDATED 2025 WITH THE ACTUAL
VERIFIED ANSWERS
TSH and T4 - answer ✔✔-CASE STUDY: Fatigue, Constipation, and Weight Gain
Reason for Seeking Care
A 40-year-old woman is seen for primary care by the clinician. The woman is a patient who is well known
to the practice. She complains of fatigue, constipation, and weight gain that is unintentional and unable
to be controlled with the diet. The woman is seeking advice for her condition. The woman has been
steadily gaining weight over several months and the clinician recognizes that the woman is gaining
considerable weight.
History of Present Illness and Health History
The patient reports weight gain of 30 pounds over 6 months. The woman indicates she has tried to
maintain her usual activities of hiking, biking, and outdoor gardening; however, she feels fatigued and
finds it difficult to maintain her usual activities. The woman also indicates she has been developing
constipation but thinks it may be due to "getting older." She now uses a f
There are no nodules palpated. There are no symptoms of dysphagia and hoarseness - answer ✔✔-Why
is the clinician less concerned about thyroid cancer in this patient?
Hashimoto's thyroiditis - answer ✔✔-The patient has no indication of iodine deficiency and the TSH level
is elevated. What is the likely cause of this patient's hypothyroidism?
ADVANCED QUESTIONS LATEST
UPDATED 2025 WITH THE ACTUAL
VERIFIED ANSWERS
TSH and T4 - answer ✔✔-CASE STUDY: Fatigue, Constipation, and Weight Gain
Reason for Seeking Care
A 40-year-old woman is seen for primary care by the clinician. The woman is a patient who is well known
to the practice. She complains of fatigue, constipation, and weight gain that is unintentional and unable
to be controlled with the diet. The woman is seeking advice for her condition. The woman has been
steadily gaining weight over several months and the clinician recognizes that the woman is gaining
considerable weight.
History of Present Illness and Health History
The patient reports weight gain of 30 pounds over 6 months. The woman indicates she has tried to
maintain her usual activities of hiking, biking, and outdoor gardening; however, she feels fatigued and
finds it difficult to maintain her usual activities. The woman also indicates she has been developing
constipation but thinks it may be due to "getting older." She now uses a f
There are no nodules palpated. There are no symptoms of dysphagia and hoarseness - answer ✔✔-Why
is the clinician less concerned about thyroid cancer in this patient?
Hashimoto's thyroiditis - answer ✔✔-The patient has no indication of iodine deficiency and the TSH level
is elevated. What is the likely cause of this patient's hypothyroidism?
