Scenario 2: A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of 'feeling cold' and fatigue.
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Scenario 2:

A 43 year old female patient presents to the office with a surgical history of thyroidectomy and

cc of "feeling cold" and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan.

The following blood work results were obtained:

Thyroid Function Tests:

T4: 4.5 µg/dl


T3: 70 ng/dl


TSH: 5.4 IU/L


Electrolytes:


Chloride: 100mEq/L


Potassium: 4.9 mEq/L


Sodium: 125 mEq/L


Calcium: 11.2 mg/dl


Magnesium: 1.5 mg/dl


Phosphorus: 2.0 mg/dl


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