Additional Findings on the Physical Exam

Additional Findings on the Physical Exam

Intake of ferrous sulfate and over the counter calcium is a perfect indication that the patient could be suffering from anaemia, inadequate iron medications, and hypocalcemia, that characterize calcium deficiency. Pocock, Richards & Richards (2013) suppose that an additional physical examination of  the patient’s arms, face, moods, muscles, nails, bones, skin, chest condition  and breath is required. The individuals coldness and prickling in the hands, feet and face,depression, phantasms, frail and brittle nails as well as easy breaking bones serve as a proof of the ailment. Moreover, Ain and Rosenthal (2011) assert that short breathes with actions, dizziness, irregular chest discomforts and cold and damp skin are signs of the ailments. Hypocalcemia  intensifies the danger of developing diseases like osteopenia and osteoporosis. It is disastrous to take an overdose of calcium. Ain and Rosenthal (2011) note that it is only advisable to take the prescribed amount of calcium for each day through the food that one eats be it vitamins or supplements.

Implications of High TSH Levels

TSH level of 4.2 mIL/L. is a slightly elevated level. WebMD postulates that, augmenting thyroid arousing hormone levels indicate an underactive thyroid gland, a condition termed as hypothyroidism. According to Ain and Rosenthal (2011), symptoms include feeling frail, exhaustion or miserable, brittle nails, constipation, memory complications, and sensitivity to cold as well as heavy and uneven periods.

Additional signs include a reduced metabolism, swollen face, mysterious weight gain, croakiness, reduced heart rate, weak muscles, raised levels of cholesterol, weakening hair, and bulging, aching or rigidity in the joints. Young individuals showcase symptoms such as delayed puberty, poor growth, retarded development of permanent teeth and poor psychological growth. Curing high TSH levels revamps health firmness, cuts down calories levels and energizes the heart’s strength to pump blood.

Therapy to Institute

Supplementation of diurnal with synthetic thyroid hormone helps treat an underactive thyroid. I would recomend therapies such as cognitive behaviour therapy to help manage the client’s condition. The therapy would play part in minimizing the symptoms severeity. The recommended therapy would also help neutralize the negative implications of the disease symptoms. Intake of an apt dosage in line with prescription of the oral medication drastically lowers the rising hormonal levals  to normal and reverses the symptoms of hypothyroidism as well. Synthetic thyroxin is employed to treat hypothyroidism. Precise dosage is determined by the patient’s weight and age, how severe hypothyroidism is, the existence of other health complications and whether a patient undergoes other treatments that might affect how the body uses thyroid hormone (Ain & Rosenthal, 2011). The therapy instituted would act as a problem solving technique for the patient. Pocock et al., (2013) note that the oatient would establish an emotional wellness through the interpersonal laboratory sense of the therapy.

TSH levels should be checked within six to eight weeks after a patient starts taking thyroid hormone and the dose is accustomed consequently. Blood tests should be taken at six months and then yearly after the dose is steadied

Adjustments Required for Thyroid Medication During Pregnancy

A patient should continue taking thyroid medication during pregnancy under close examination. Treatment of hypothyroidism is the most common reason as to why expectant mothers take thyroid medicine. Levothyroxine, an artificial form of thyroid hormone that is safe for a baby, is the typical medication. It has no harm to a developing foetus.  Thyroid gland has to yield about 40 percent more thyroid hormone for both a mother and a developing foetus, during pregnancy (Pocock et al., 2013). Preterm delivery, preeclampsia and miscarriage are some of the complications. Women who do not receive enough thyroid hormone during pregnancy are most likely to contract the malady. Children born to mothers with insufficient thyroid hormone during pregnancy have lower IQs.


Ain, K. & Rosenthal, M. (2011). The complete thyroid book (1st ed.). New York: McGraw-Hill.

Pocock, G., Richards, C., & Richards, D. (2013). Human physiology (1st ed.). Oxford: Oxford    University Press.

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