Tamara, a 42-year-old woman who is an established patient, comes to an appointment complaining of sudden and unexpected weight gain, fatigue, and heavy menses for the past 3 months.

This week focused on endocrine and immunological disorders, with an emphasis on the importance of using subjective and objective data collection techniques to develop differential diagnoses. It is time to practice your skills by completing a case for an established patient.

Complete the following case study by answering the questions associated with the scenario.

Scenario
Tamara, a 42-year-old woman who is an established patient, comes to an appointment complaining of sudden and unexpected weight gain, fatigue, and heavy menses for the past 3 months. Tamara has a history of allergies, Guillain-Barré syndrome at age 18, depression, and some difficulty getting pregnant in the past. Her maternal grandmother had a history of thyroid problems, but no specific information was available.

Case Questions
Answer the following questions in 350 to 525 words:

What additional assessments should be included in the patient examination?
Should this patient have had routine screening of thyroid function? Provide rationale for your answer.
Which testing is needed to diagnose hypothyroidism?
Why is the measurement of free T4 always preferred over the total T4?
Under what circumstances should this patient be referred to an endocrinologist for treatment?

Cite a minimum of 3 scholarly resources to support your assignment.

Format citations and references according to APA guidelines.

Submit your assignment.

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