Question

J.S. a 30-year-old woman, presents at her primary care office complaining of feeling nervous and anxious....

J.S. a 30-year-old woman, presents at her primary care office complaining of feeling nervous and anxious. She states that she even feels as if her heart is racing because she is “so stressed out.” J.S. would like to be prescribed anti-anxiety medication. Janelle’s height and weight measurements reveal she has lost 15 pounds in the last 6 months. She attributes her weight loss to stress.

The primary care provider (PCP) examines J.S. and notes her resting heart rate is 84 beats per minute and blood pressure is 144/88 mm Hg. The PCP notes slight tremors in Janelle’s hands, and an area in her neck appears to be enlarged compared to its appearance in previous visits. J.S. lists further complaints including hair loss, diarrhea, and “feeling hot all the time.”

The PCP decides to have several blood laboratory tests completed. All results are normal except the following: significantly elevated thyroid hormone levels and undetectable TSH and TRH. Further screening reveals elevated thyroid-stimulating antibodies.

The PCP informs J.S. that her thyroid gland may need to be removed. If removal is necessary, thyroid hormone replacement medication will be prescribed.

J.S. says she cannot understand how one hormone can be the cause of so many symptoms: weight loss, tremors, hair loss, increased heart rate, feeling hot, etc. How would you explain the systemic effects of hormones to J.S.?

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Answer #1

We can convey the client by providing the knowledge regarding the systemic effect of hormones .

In our body the hormonal imbalance occur ,the time when our body start to produce too much or too little of hormones .Hormones are playing an essential role in our body .Hormones are travelled through and blood to our various tissues and organs and they give messages to the organs and tissues regarding what need to do and when it need to do .so it is clear regarding the importance of hormones and thus even a small amount of hormonal imbalance create a lot of symptoms in one's body .

In this case , the elevated thyroid hormone makes everything in our body to work too fast .

* Hyperthyroidism will accelerate our body metabolism

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