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HART NOTE-JOHN SMITH S:        This is a 54-year-old male who presents with fatigue. He also has...

HART NOTE-JOHN SMITH

S:        This is a 54-year-old male who presents with fatigue. He also has headaches. Because of a history of some visual field deficits during his headaches, his ophthalmologist ordered an MRI of the brain. I reviewed the films and did not see anything but the expected post-surgical changes of the brain. Lab tests show that he does have some residual function of the pituitary gland, so his endocrinologist only placed him on testosterone patches and thyroid hormone replacement (Synthroid). He also has a history of depression, which could explain the fatigue and headache, or they could be due to low thyroid replacement levels.

O:        HEENT: Normal. Lungs: Clear to auscultation. Cardiovascular: Regular rate and rhythm, without murmurs, rubs or gallops. Abdomen: Nondistended, nontender. Extremities: No edema.

A:        1. Fatigue. Possibly hypothyroidism. Will check T3, T4, and TSH levels.

            2. Headache, possibly within the context of depression. He is on a rather low dose of an antidepressant drug at this time.

            3. Hypopituitarism.

P:        1. Will obtain an FSH, LH, free and total testosterone, and baseline ACTH.

            2. Follow up in 1 week

Edward Norton, MD

I need to answer these question please

1.  Divide endocrinologist into its word parts and define each part.

2. Divide hypopituitarism into its word parts and define each part

3.  What is the abbreviation for thyroid-stimulating hormone?

4. Besides the physician who dictated this report, what two physician specialists have recently seen this patient?

9.  Why is the patient taking Synthroid?

10. The patient’s fatigue, headache, and visual field defect could be signs of a recurring tumor in the brain. What test has already been done to look for a tumor?

Solutions

Expert Solution

1.endocrinologist

Endocrine: relate to glands that secrete hormones or other products into the blood within the body.

Logos: the study

Ist: It is a suffix means the expert

2.hypopituitarism

Hypo: it is prefix means low or under or decreased

Pituitary: related to the pituitary gland, it is a gland in the brain which regulate the major functions of the body

ism: it is a suffix that means state or condition related to the organ.

3.abbreviation for Thyroid Stimulating Hormone is TSH

4.besides the physician, the other two specialists saw his results were,

Ophthalmologist: A specialist in the branch of medicine and deals with the study and treatment of diseases and disorders of the eye.

Endocrinologist: A specialist doctor who treats diseases and disorders of the endocrine system.

9.The reason why the patient is taking Synthroid

Synthroid is a harmony that is used to treat hypothyroidism. It an also known as levothyroxine which replaces thyroxine harmony when the thyroid gland doesn't produce enough hormone.

10.The test done for the patient

MRI: Magnetic Resonance Imaging: It is a diagnostic procedure using strong magnetic waves to create images of the body.

Nightingale answered 1 year ago
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