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Week 7: Assignment

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Week 7 Assignment 1 Discussion Question Two VG is a thirty-one-year-old female who comes in for a routine follow-up. She reports that she has been feeling excessive fatigue over the last month. She also notes that she is having some problems at work, not only because of her fatigue but also because of difficulty concentrating. She also notes that she has gained 10 pounds over the last month, and she is unable to identify the cause of the weight gain. She also notes that her periods are a little heavier and more irregular. She is currently taking daily ferrous sulfate and over-the-counter calcium. According to VG’s medical record, she had a TSH level of 4.2 mIL/L about a year ago. Although, Her previous blood levels were slightly elevated, VG’s previous medical provider did not schedule retesting as, no further follow-up lab was deemed necessary at the time. Repeat blood work today reveals a TSH level of 9.8 mIL/L and a free T4 of 0.72 ng/dL. •What additional findings on the physical exam would you look for? …show more content…

Heavy periods and irregular bleeding are linked to several medical conditions. Pregnant women can experience bleeding during pregnancy; even women not aware of being pregnant. First trimester bleeding is any vaginal bleeding during the first three months of pregnancy. Vaginal bleeding may vary from light spotting to heavy bleeding with clots. Vaginal bleeding is a common problem in early pregnancy, complicating 20% to 30% of all pregnancies (EMH, 2015). The NP will run a blood lab HCG qualitative and quantitative blood test that is a more accurate pregnancy test; checking for the presence and also, the level of the hormone. A pregnancy test measures a hormone in the body called human chorionic gonadotropin (HCG). HCG is a hormone produced during pregnancy. It appears in the blood of pregnant women as early as ten days after conception (NLM,

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