solved

Patient is a 50 year-old female who was referred to the ER from the local urgent care. She reports she presented to the urgent care with complaints of insomnia, palpitations, weakness and fatigue over the past few weeks. Upon further examination patient reports she has noticed hair loss and absent menstrual periods. She thought she was going through menopause but the other symptoms started. A complete physical exam is done and note a goiter to her left neck.
Questions:
What is the diagnosis and cause for this patient? Explain your answer. Include list of differential diagnoses.
How would you treat this patient? Include pharmacological and nonpharmacological. Explain from time of arrival to ER and throughout hospital stay.
What imaging, labs, testing, etc do you anticipate for this patient? What do you expect to find?
What do you plan to discharge the patient with? Explain the discharge treatment plan.

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