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NR511 Week 6 discussion Hypothyroidism. 1. Briefly and concisely summarize the H&P findings as if you were presenting it to your preceptor using the pertinent facts from the case. Use shorthand where possible and approved medical abbreviations. Avoid redundancy and irrelevant information. 2. Provide a differential diagnosis (minimum of 3) which might explain the patient's chief complaint along with a brief statement of pathophysiology for each. 3. Analyze the differential by using the pertinent findings from the history and physical to argue for or against a diagnosis. Hypothyroidism – OSA – Moderate recurrent episode of MDD – Identify any additional tests and/or procedures that you feel is necessary or needed to help you narrow your differential. All testing decisions must be supported with an evidence-based medicine (EBM) argument as to why it is necessary or pertinent in this case. If no testing is indicated or needed, you must also support this decision with EBM. 1. What is your primary diagnosis for this patient as the cause for the CC of fatigue? (support your decision for your diagnosis with pertinent positives and negatives from the case) 2. Identify the corresponding ICD-10 code. 3. Provide a treatment plan for this patient's primary diagnosis which includes: o Medication* o Any additional testing necessary for this particular diagnosis* o Patient education* o Referral 4. Provide an active problem list for this patient based on the information given in the case. 5. Are there any changes that you would make to the patient's overall plan at this time? Must provide an evidence-based medicine (EBM) argument to support any treatments or testing decisions. 6. Provide an appropriate follow-up plan (include any additional testing that you feel is necessary and include an EBM argument).

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