A 36 year old female presents with shortness of breath and c…
A 36 year old female presents with shortness of breath and chest discomfort after a long road trip. Vitals: BP 156/81, Pulse 112, RR 25, O2 89% on room air, Temp 98.9F History: tobacco use, migraines, obesity, hypothyroidism Home medications include levothyroxine and birth control pills. Chest CTA reveals a right sided pulmonary emboli (PE). Labs: WBC 10.5 x1000/mm RBC 4.9 Mill/min HgB 11.9 gm/dl HCT 32.6 % Plt 400 x1000/mm Na+ 138 mEq/L K+ 3.2 mEq/L Cr 0.9 mg/dL BUN 12 mg/dL Glucose 132 mg/dl Ca+ 7.9 mg/dL High Sen – Troponin 50ng/L CKMB 10IU/L Repeat High Sen – Troponin 56ng/L EKG: (Knechtel, M. A. (2021). EKG 5.3. In Springer Publishing.) What is the secondary diagnosis?
Read DetailsA 42-year-old woman presents with complaints of fatigue, col…
A 42-year-old woman presents with complaints of fatigue, cold intolerance, constipation, weight gain, and dry skin over the past few months. She mentions that her periods have become heavier. On examination, her heart rate is 58 bpm, her skin is dry, and she has a mildly enlarged, non-tender thyroid. Her lab values are:Test Result Reference RangeTSH 7.9 µIU/mL 0.4–4.0 µIU/mLFree T4 0.5 ng/dL 0.8–1.8 ng/dLAnti-TPO Ab Positive Negative/Low Based on the clinical findings and labs, what is the most appropriate initial treatment for this patient?
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