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    Ati Nur 213 Lifespan 2 Proctored Exam(Fundamental Exam)

    For each client finding below, click to specify if the finding is consistent with the disease process

    Explanation & Rationale

    Heart rate is 54, patient has complained of constipation and poor appetite: Myxedema, a severe form of hypothyroidism, causes bradycardia due to decreased metabolism. Constipation and poor appetite occur as slowed metabolism reduces gastrointestinal motility and hunger. Patient is anxious and irritable with skin moist and warm: Graves Disease causes hyperthyroidism, increasing metabolic rate and sympathetic activity. This leads to anxiety, irritability, and warm, moist skin from increased blood flow and sweating. These findings show the hypermetabolic state of Graves. Nonpitting edema noted in the extremities with thinning hair: Nonpitting edema results from mucopolysaccharide buildup in hypothyroidism. Thinning hair occurs due to thyroid hormone deficiency affecting hair follicles. These are classic signs of advanced hypothyroidism. Patient has recently lost over 10 pounds in the last month and has noticed a fine tremor in the hands: Weight loss despite increased appetite is typical of Graves Disease due to elevated metabolism. Fine hand tremors result from increased beta-adrenergic stimulation. These symptoms indicate hyperthyroidism.

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