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Complete the case study by answering the

Complete the case study by answering the questions associated with the scenario. Cite references according to APA guidelines. Scenario A 42-year-old woman who is an established patient comes to an appointment complaining of sudden and unexpected weight gain, fatigue, and heavy menses for the past 3 months. The woman has a history of allergies, Guillain-Barré syndrome at age 18, depression, and some difficulty getting pregnant in the past. Her maternal grandmother had a history of thyroid problems, but no specific information was available. Case Questions What additional assessments should be included in the patient examination? Explain whether this patient should have had the routine screening of thyroid function. Which testing is needed to diagnose hypothyroidism? Why is the measurement of free T4 always preferred over the total T4? Under what circumstances should this patient be referred to an endocrinologist for treatment? SCIENCE HEALTH SCIENCE NURSING NRP 555

 
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