HYPOTHYROIDISM DENOVO

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A 40 YR OLD FEMALE CAME TO OPD WITH C/O FACIAL PUFFINESS,PEDAL EDEMA,SOB SINCE 1 MONTH

PATIENT WAS APPARENTLY ASYMPTOMATIC 1 YR BACK, SHE HAD SIMILAR COMPLAINTS LIKE FACIAL PUFFINESS,PEDAL EDEMA WENT TO LOCAL HOSPITAL SAID TO HAVE LOW HB -6.5 GM/DL- PUT ON ORAL MEDICATION. PATIENT USED MEDICATION FOR 2 MONTHS , HB IMPROVED TO 10 GM /DL. 

SIMILAR COMPLAINTS SINCE 1 MONTH FACIAL PUFFINESS,PEDAL EDEMA,SOB- INSIDIOUS IN ONSET, NON PROGRESSIVE GRADE 2 ACC TO NYHA. NOT ASSOCIATED WITH ORTHOPNEA AND PND.

H/O WT. GAIN + ,DRY SKIN+ COLD INTOLERANCE+.

NO CONSTIPATION, FATIGUE, MENSTRUAL DISTURBANCES.

NO H/O DEC. URINE OUTPUT, FEVER ,COLD, COUGH,PAIN ABDOMEN.

No h/o DM,HTN,TB,BA , epilepsy

FAMILY H/O: 

Daughter k/c/o : hypothyroidism since 2015 and on medication THYRONORM 50 mg /od 

GE: Pt is c/c/c, afebrile

Bp- 100/60 mm Hg

PR-80 bpm

RR-20 cpm

Spo2-99%@ RA

Grbs-92 mg/dl

Clubbing+

No pallor, icterus, cyanosis lymphadenopathy

CVS: S1S2+ 

RS: BAE+

CNS: NAD

 

PROVISIONAL DIAGNOSIS

Denovo diagnosed ? Primary HYPOTHYROIDISM.

 Treatment:

Tab. THYRONORM 75 MG OD