Case-01 : Case Study on Hypothyroidism

Introduction to Hypothyroidism

Hypothyroidism is a condition where the thyroid gland doesn't produce enough thyroid hormones. These hormones are crucial for regulating metabolism, energy production, and many body systems.

Specialist : Endocrinologist

Patient Details :

1. Name : 
2. Age : 
3. Gender : 
4. Occupation : 
5. Height :
6. Weight : 

Present Complaints : 

• Headache
• Cold to intolerance
• Dry skin
• Weight gain
• having Hypothyroidism since 6 years and using the tablets levothyroxine 100mcg

Past Medical History :

• History of thyroid disorder in the family

Physical Examination : 

• Vital Signs : Normal
• puffy face 
• dry skin
• No visibility of thyroid gland

Investigations : 

Thyoid Stimulating Hormone ( TSH )

Diagnosis :

Hypothyroidism : indicated by high TSH, low T4.

Treatment Plan :

Levothyroxine 137mcg tablet orally once a daily for 60 days 

Education :

• Stress Management
• Regular exercise
• Low calorie foods
• High fiber diet

Diet advise : 

• Avoid deep fried foods
• Avoid cold and frozen items.
• Consume less sugar foods.
• Consume zera water to increase BMR rate
• Avoid cabbage

Follow up : 

• Next consultation after 2 monts with TSH report

References : 

1. American Thryoid Assosication Guidelines 

2. Mayo Clinic 

3. Harrisons Principles of Internal Medicine

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