iHUMAN Unit 5 Case Study Maria Ash: Comprehensive for Fatigue
and Weight Gain in a 42-Year-Old Female | Hypothyroidism
Assessment & Expert Feedback
Detailed iHUMAN Unit 5 case study of Maria Ash, a 42-year-old female presenting with
fatigue and weight gain. Includes a complete primary hypothyroidism diagnosis, differential
diagnoses, evidence-based treatment plan, lifestyle recommendations, and expert feedback
for nursing students and advanced practice learners.
• iHUMAN Unit 5 Maria Ash
• Fatigue and weight gain
• Hypothyroidism iHUMAN case study
• Nursing student thyroid case
Patient Information
Name: Maria Ash
Age: 42 years
Sex: Female
Ethnicity: Caucasian
Source of History: Patient (reliable)
Setting: Primary Care / Endocrinology Clinic
, Chief Complaint (CC):
“I’ve been feeling tired all the time and have gained weight recently.”
S – Subjective
History of Present Illness (HPI):
Maria Ash is a 42-year-old female presenting with fatigue and unexplained weight gain over the past 6
months. She reports persistent low energy, difficulty concentrating, and feeling cold more often than
usual. She denies significant changes in diet or physical activity.
She reports dry skin, hair thinning, and mild constipation. Sleep quality is poor, often waking up tired. She
denies chest pain, shortness of breath, palpitations, depression, or anxiety.
She has no prior history of thyroid disease and no recent medication changes. Family history is notable for
mother with hypothyroidism.
Associated Symptoms
• Fatigue
• Cold intolerance
• Constipation
• Hair thinning
• Dry skin
Denies
• Chest pain
• Dyspnea
• Palpitations
• Depression or anxiety
• Fever, chills
Past Medical History (PMH):
• Hypertension
Past Surgical History (PSH):
• Appendectomy at age 22
Current Medications:
• Lisinopril 20 mg PO daily
, Allergies:
• NKDA
Family History:
• Mother: Hypothyroidism
• Father: Type 2 diabetes
• No family history of cardiovascular disease
Social History:
• Married, lives with spouse
• Works full-time in an office
• Denies tobacco or illicit drugs
• Alcohol: Occasional
• Diet: Moderate, low exercise
Review of Systems (ROS):
• General: Fatigue, weight gain
• Skin: Dry, hair thinning
• GI: Constipation
• Endocrine: Cold intolerance
• Cardiac/Respiratory: Denies
• Neuro: Mild cognitive slowing
• Psych: Mood stable
O – Objective
Vital Signs:
• BP: 132/80 mmHg
• HR: 68 bpm
• RR: 16 bpm
• Temp: 97.8°F
• SpO₂: 98% RA
• BMI: 30.2 kg/m²
Physical Examination
and Weight Gain in a 42-Year-Old Female | Hypothyroidism
Assessment & Expert Feedback
Detailed iHUMAN Unit 5 case study of Maria Ash, a 42-year-old female presenting with
fatigue and weight gain. Includes a complete primary hypothyroidism diagnosis, differential
diagnoses, evidence-based treatment plan, lifestyle recommendations, and expert feedback
for nursing students and advanced practice learners.
• iHUMAN Unit 5 Maria Ash
• Fatigue and weight gain
• Hypothyroidism iHUMAN case study
• Nursing student thyroid case
Patient Information
Name: Maria Ash
Age: 42 years
Sex: Female
Ethnicity: Caucasian
Source of History: Patient (reliable)
Setting: Primary Care / Endocrinology Clinic
, Chief Complaint (CC):
“I’ve been feeling tired all the time and have gained weight recently.”
S – Subjective
History of Present Illness (HPI):
Maria Ash is a 42-year-old female presenting with fatigue and unexplained weight gain over the past 6
months. She reports persistent low energy, difficulty concentrating, and feeling cold more often than
usual. She denies significant changes in diet or physical activity.
She reports dry skin, hair thinning, and mild constipation. Sleep quality is poor, often waking up tired. She
denies chest pain, shortness of breath, palpitations, depression, or anxiety.
She has no prior history of thyroid disease and no recent medication changes. Family history is notable for
mother with hypothyroidism.
Associated Symptoms
• Fatigue
• Cold intolerance
• Constipation
• Hair thinning
• Dry skin
Denies
• Chest pain
• Dyspnea
• Palpitations
• Depression or anxiety
• Fever, chills
Past Medical History (PMH):
• Hypertension
Past Surgical History (PSH):
• Appendectomy at age 22
Current Medications:
• Lisinopril 20 mg PO daily
, Allergies:
• NKDA
Family History:
• Mother: Hypothyroidism
• Father: Type 2 diabetes
• No family history of cardiovascular disease
Social History:
• Married, lives with spouse
• Works full-time in an office
• Denies tobacco or illicit drugs
• Alcohol: Occasional
• Diet: Moderate, low exercise
Review of Systems (ROS):
• General: Fatigue, weight gain
• Skin: Dry, hair thinning
• GI: Constipation
• Endocrine: Cold intolerance
• Cardiac/Respiratory: Denies
• Neuro: Mild cognitive slowing
• Psych: Mood stable
O – Objective
Vital Signs:
• BP: 132/80 mmHg
• HR: 68 bpm
• RR: 16 bpm
• Temp: 97.8°F
• SpO₂: 98% RA
• BMI: 30.2 kg/m²
Physical Examination
