Hypothyroidism

A 50 yrs old female came with the complaints of glandular swelling at neck for past 2 years which is painless and also complaints of cough which aggravates during change of wheather,she also complaints of occasional weakness with this. History Past history-nothing significant Family history-mother had thyroid problem. Mental history-she is very reserved by nature but Talkative to close one only,doesn't express her emotions easily. Likes company and hates consolation. Vitals BP-120/90mmHg Temp-afebril Pulse rate-73bpm Physical Examination Moderately built and nourished Well oriented with time and person n place Apetite-good Diet-mixed Thirst -good Craving-salty n spicy food Sleep-good Prespiration-generalised Thermal-hot patient Investigations Thyriod profile T3-100ng/dl T4-6.4ug/dl TSH-10.26U/ml Diagnosis Hypothyroidism Management Rx -Thyroidinum 6c Qds Nat mur 1m one dose Given for 2 weeks. After 2 weeks complaints were better Rx-nat mur 200 only 1 dose weakly Thyroidinum6c Qds Next follow up-felling completely better,no new complaint Advice for Thyroid profile T3-131ng/dl T4-6.8ng/dl TSH-0.66lu/dl Rx- five phos tablets-1-1-1 Thyroidinum6c 3-3

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Good job, thanks for sharing

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Congratulations

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Congratulations doctor

Congratulations Dr. Rupali Thanks for sharing

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Very nicely managed Respected Doctor , thanks for sharing

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Great

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