Chief Complaint: Fatigue
a. History: Constipation, cold sensitivity, dry skin, and if female any changes in menstrual cycles.
b. Physical Exam: dry skin, and weight gain
b. TSH: Elevated
Differential Diagnosis
Hashimoto's Thyroiditis
Next Pivotal Assessment | Finding | |||
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Physical Examination:
Blood Tests:
Ultrasound Imaging:
Fine Needle Aspiration (FNA) Biopsy:
Additional Tests:
Once a diagnosis is confirmed, treatment typically involves thyroid hormone replacement therapy to address the hypothyroidism caused by Hashimoto's Thyroiditis. It's important to note that the diagnosis and management of Hashimoto's Thyroiditis should be performed by a qualified healthcare professional, usually an endocrinologist or a primary care physician with expertise in thyroid disorders.