Thyroid Glands

Physical

Ellie is a university student finding a very had time to concentrate and study. Her heart rate is very high; her concentration is low, she can't sleep, she has lost a lot of weight, and her eyes have bulged out. She has a swelling on her neck is always jittery. She also seems to have developed a sinus infection. The above are some of the physical challenges that Ellie is suffering from as a result of her condition. Her high heart rate has lowered her concentration by increasing her anxiety. It is also what’s is making her lack sleep at night.

Psychological

These conditions are causing a lot of psychological problems for Ellie. Her anxiety is limiting her from having full concentration while studying. She has tried a combination of learning methods, but they still do not work. Her exams results are worsening while she puts in more effort in each attempt. The problem is associated with her lack of concentration. This is a problem that is making her unable to retain most of the information she tries to learn. Her lack of sleep is tiring her, and she is constantly in the toilet. She is stressed out from all the situation because her grades are low and she fears she could lose her scholarships.

Ellie has a health problem that emanates from her thyroid gland. The doctor found swelling on Ellie's neck and asked for further tests which found that her Thyroid Stimulating Hormone is very low. He also concluded that she has Graves’ disease that is causing all the abnormalities in her Thyroid. The disease is what has been causing her high heart rate and thus her lack of sleep and concentration that is affecting her studies. The doctor recommended her to an endocrinologist who would provide more advice on the issue.

Patient: Ellie

Sex: Female

Subject

She has large blue eyes that have bulged out, her hands tremble, and she has lost a lot of weight. She has a swelling on her neck and can’t seem to sleep. She also has a lot of stress. She has a very high heart rate that makes her anxious and has problems concentrating while studying.

Objective

She appears very stressed, jittery and unhealthy. Her heart rate is more than normal and weight not normal for a person who is not dieting. Her eyes have bulged, and she looks unwell.

Assessment

Graves’ disease

Plan

She has first to be assessed by an endocrinologist who will establish a better diagnosis of her condition. The expert will then subscribe her to the best plan of action which may either be the use of drugs to reduce the hyperactivity of her thyroid, use of radioactive iodine to kill the grand and surgery to remove part of the gland or the whole of it.