This patient is suffering with hypothyroidism as there aremultiple signs and symptoms suggesting so as well as lab results which stronglyhelps diagnose the patient with hypothyroidism. Signs and symptoms such as weightgain, bradycardia and menorrhagia are opposite to hyperthyroidism, insteadhyperthyroidism sufferers will have weight loss, tachycardia and light menstruationas thyroids act oppositely in these to conditions. Other signs and symptomsonly occur during hypothyroidism such as hypothermia, enlarged thyroid glands,cold intolerance, stiffness especially the neck, less energetic andconstipation. Some are common signs and symptoms for both conditions such asfatigue and muscle aches which doesn’t specific diagnosis this patient as moretests are needed.
Vital signs were measured which show normal blood pressure, respirationrate and body temperature, although her BMI suggest she is slightly overweight andshe has tachycardia, which is usually associated with hyperthyroidism. There is various laboratory test that help correctlydiagnose patients, for the diagnoses of hypothyroidism a serum TSH test, freethyroxine (FT4) and a total triiodothyronine (T3) tests could be done. Serum TSHmust be elevated and FT4 and T3 must be below normal range. This indicatesprimary hypothyroidism which is what this patient presented with from theresults obtained, meaning that the disease is being caused in the target glands.If any of these results aren’t as this e.g. serum TSH is below normal range itwill alter the results and would mean she is suffering from secondaryhypothyroidism which means disease is being caused in the pituitary gland.
Thisis an important diagnosis as TSH controls the production of T3 and T4, so ahigh level of TSH means hypothyroidism as more T3 and T4 is required. Anotherlaboratory test that was undertaken was to check the anti-thyroglobulin andanti-thyroid-peroxidase levels. Both were elevated and the TSH receptorantibodies were negative meaning