Gastrointestinal & Endocrine Discussion

please see attached.

Gastrointestinal & Endocrine

For this Discussion, you will take on the role of a clinician who is building a health history for the following case.

Chief complaint- “neck swelling”

History of Present Illness (HPI)- A 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction

Primary Medical History (PMH)- denies
Primary Surgical History (PSH)-Surgical removal of benign left breast nodule 2 years ago

Med Hx- No medical history

Allergies- none

Subjective data- Mild difficult to shallow, Neck feels tight, Pt states she feels Palpitations

PE- B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6

General- 42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress.

HEENT- Bulging eyes

Neck- Diffuse enlargement of the thyroid gland

Lungs- CTA AP&L

Cardiac- S1S2 without rub, Tachycardia

Abd- benign, normoactive bowel sounds x 4

GU- noncontributory

Extremities- no cyanosis, clubbing or edema

Integumentary- Thin skin, Increase moisture

Neuro- No obvious deficits and CN grossly intact II-XII

1.
What other subjective data would you obtain?

2.
What other objective findings would you look for?

3.
What diagnostic exams do you want to order?

4.
Name 3 differential diagnoses based on this patient presenting symptoms?

5.
Give rationales for your each differential diagnosis.

*post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources