Assignment Help For You!

Special Offer! Get 20-30% Off on Every Order!

Posted: September 6th, 2023

The thyroid antibodies were important in this patient’s diagnosis

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition
Case Studies
The patient, a 23-year-old woman, has had a bout of flulike symptoms over the past few weeks.
Most recently, she has become increasingly tired. She is taking birth control pills to control her
menses. Her anterior neck became painful during the past few weeks. The physical examination
results reveal that her thyroid is diffusely enlarged and mildly tender.
Studies Results
Routine laboratory tests Within normal limits (WNL)
Total thyroxine (T4), p. 442 8 mcg/dL (normal: 5–12 mcg /dL)
Free T4 0.5 ng/dL (normal: 0.8–2.7 ng/dL)
Free T4 index 0.4 ng/dL (normal: 0.8–2.4 ng/dL)
Triiodothyronine (T3), p. 449 52 ng/dL (normal: 70–205 ng/dL)
Thyroxine-binding globulin (TBG), p.
12 mg/dL (normal: 1.7–3.6 mg/dL)
Thyroid stimulating hormone (TSH),
p. 434
32 microunits/mL (normal: 2–10 microunits/mL)
Thyroid scanning, p. 780 Enlarged gland; normal shape, position, and function
of the thyroid gland. No areas of decreased or
increased uptake
Thyroid ultrasound, p. 838 Enlarged gland; normal shape and position of the
thyroid gland
Thyroid antibodies
Antithyroglobulin antibody, p. 92 1:250 (normal: titer <1:100)
Antithyroid peroxidase antibody,
p. 93
1:500 (normal: titer <1:100)
immunoglobulins, p. 437
Diagnostic Analysis
Total T4 measures protein-bound and unbound T4. Because the patient was taking birth control
pills, her TBG was elevated; therefore, her total T4 was normal. Free T4 and FT4 index tests
measure unbound T4. When the free T4 and the FT4 index were measured, they were found to be
low, indicating that the patient had hypothyroidism. The TSH level was elevated because of
primary failure of the thyroid. The thyroid antibodies were elevated, indicating that the patient
had Hashimoto thyroiditis. Her long-acting thyroid stimulator (LATS) levels were normal,
discounting Graves disease as a cause of her diffusely enlarged thyroid. Her thyroid ultrasound
and scan failed to show any localized, defined tumor.
The patient was started on thyroid replacement therapy, and her TSH level returned to normal.
Over the next few weeks, she felt markedly better. Her thyroid pain and tiredness disappeared.
Case Studies
Copyright © 2018 by Elsevier Inc. All rights reserved.
Critical Thinking Questions
1. Why were the thyroid antibodies important in this patient’s diagnosis?
2. What symptoms might she experience if too much thyroid replacement medication were

The thyroid antibodies were important in this patient’s diagnosis because they indicated the presence of Hashimoto’s thyroiditis. Hashimoto’s thyroiditis is an autoimmune disease where the body’s immune system attacks the thyroid gland, leading to inflammation and eventual destruction of the thyroid tissue. The elevated levels of antithyroglobulin antibody and antithyroid peroxidase antibody confirmed the presence of autoimmune thyroiditis and helped differentiate it from other causes of hypothyroidism. These antibodies are commonly seen in Hashimoto’s thyroiditis and can help in confirming the diagnosis.

If too much thyroid replacement medication (thyroid hormone) were administered to this patient, she might experience symptoms of hyperthyroidism. Hyperthyroidism occurs when there is an excessive amount of thyroid hormone in the body. Symptoms of hyperthyroidism may include:

Increased heart rate or palpitations
Weight loss or difficulty gaining weight
Nervousness, anxiety, or irritability
Tremors or shaky hands
Heat intolerance or increased sweating
Increased appetite
Changes in menstrual patterns
Fatigue or muscle weakness
Sleep disturbances
It is important to closely monitor thyroid hormone levels and adjust the dosage as needed to avoid overtreatment or undertreatment, as both can lead to undesirable symptoms and complications. Regular follow-up and thyroid function tests are necessary to ensure the optimal balance of thyroid hormone replacement.

Tags: , , , , , , , , , , ,

Order for this Paper or Similar Assignment Writing Help

Fill a form in 3 easy steps - less than 5 mins.

Why choose our Study Bay Services?

Like every student, Focusing on achieving the best grades is our main goal

Top Essay Writers

We have carefully cultivated a team of exceptional academic writers, each with specialized expertise in particular subject areas and a proven track record of research writing excellence. Our writers undergo rigorous screening and evaluation to ensure they hold relevant advanced degrees and demonstrate mastery of English grammar, citation style, and research methodology. Recent projects completed by our writers include research papers on topics such as sustainable energy policy, cognitive behavioral therapy, and molecular genetics.

Student-Based Prices

We prioritize attracting highly skilled writers through competitive pay and strive to offer the most cost-effective services for students. References from recent years include surveys of customer satisfaction with online writing services conducted by the American Customer Satisfaction Index between 2018 to 2022, demonstrating our commitment to balancing affordable costs with high standards of work through positive reviews and retention of expert writers.

100% Plagiarism-Free

We guarantee 100% original and plagiarism-free final work through a thorough scanning of every draft copy using advanced plagiarism detection software before release, ensuring authentic and high-quality content for our valued customers. To note, we also do not generate assignment content with AI tool, thus you a guaranteed 0% similarity index for your final research paper.

How it works

When you decide to place an order with ap.studybay, here is what happens:

Complete the Order Form

You will complete our order form, filling in all of the fields and giving us as much detail as possible.

Assignment of Writer

We analyze your order and match it with a writer who has the unique qualifications to complete it, and he begins from scratch.

Order in Production and Delivered

You and,the support and your writer communicate directly during the process, and, once you receive the final draft, you either approve it or ask for revisions.

Giving us Feedback (and other options)

We want to know how your experience went. You can read other clients’ testimonials too. And among many options, you can choose a favorite writer.